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Kiah Enriquez, LCSW

Social Worker, Clinical in Woodridge, IL. Individual provider (NPI-1).

NPI number1720719248
StatusActive
Last updated in NPPESJun 24, 2022

Details

NPI
1720719248
Entity type
Individual (NPI-1)
Name
Kiah Enriquez
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 24, 2022
Certification date
Jun 23, 2022
Last updated
Jun 24, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical–ILYes

Practice location

7501 Lemont Rd Ste 16
Woodridge, IL 60517-2658

Phone 331-260-5963

Mailing address

23144 W McClintock Rd
Channahon, IL 60410-3001

Phone 815-931-4909

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