Self Design, INC

NPI #1023374261 in Evanston, Illinois

Provider Information

NPI Number: 1023374261
Entity Type: Organization
Organization Name: Self Design, INC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Apr 2, 2012
Last Updated: Apr 2, 2012

Practice Location

Address: 1007 CHURCH ST
Address 2: SUITE 515
City: Evanston
State: Illinois
ZIP Code: 60201-3624
Phone: (773) 818-6800

Authorized Official

Name: JULIE BLACKMAN, LCSW
Title: PRESIDENT/OWNER
Phone: (773) 818-6800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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