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MS. JOLENE L ALTMAN LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1518102896

Individual Registrant:
MS. JOLENE L ALTMAN LCSW
Gender: F
Sole Proprietor

Location and contact information for practice:
3245 GROVE AVE STE 103  BERWYN, IL 60402-3475 US
Tel: 773-426-7045  Fax: 855-727-4855

Contact information for business:
3218 VERNON AVE  BROOKFIELD, IL 60513-1443 US
Tel: 773-426-7045  Fax: 855-727-4855

Registration Information:
NPI: 1518102896
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
IL149.013289

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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