Michaela Alice Cudahy, LCSW
Social Worker, Clinical in Skokie, IL. Individual provider (NPI-1).
NPI number1982164414
StatusActive
Last updated in NPPESMar 21, 2019
Details
- NPI
- 1982164414
- Entity type
- Individual (NPI-1)
- Name
- Michaela Alice Cudahy
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2019
- Last updated
- Mar 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149010057 | IL | Yes |
Practice location
5225 Old Orchard Rd Ste 17Skokie, IL 60077-1027
Phone 847-983-0107
Mailing address
5225 Old Orchard Rd Ste 17Skokie, IL 60077-1027
Phone 847-983-0107
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