MRS. Irma Whiteside, SOCIAL WORK

NPI #1013316264 in Zion, Illinois

Provider Information

NPI Number: 1013316264
Entity Type: Individual
Name: MRS. Irma Whiteside, SOCIAL WORK
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: SOCIAL WORK
Enumeration Date: Aug 13, 2014
Last Updated: Aug 13, 2014

Practice Location

Address: 2213 GILBOA AVE
City: Zion
State: Illinois
ZIP Code: 60099-2240
Phone: (847) 746-0564

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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