MS. Dickelle Fonda, LCSW

NPI #1972661189 in Evanston, Illinois

Provider Information

NPI Number
1972661189
Entity Type
Individual
Name
MS. Dickelle Fonda, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Dec 4, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1220 DARROW AVE
ZIP Code
60202-1114
Phone
(847) 491-9748

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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