Radicallyblended Services
Radicallyblended Services is a Clinical Social Worker in Chicago, Illinois. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
5113 S Harper Ave Ste 2CChicago, IL 60615-4119
Phone: (872) 763-4405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1932942497 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Keisha Walker Mathew — Owner · (872) 763-4405 |
| Other names | Radicallyblended Services |
| NPI enumerated | June 13, 2024 |
| Last updated in NPPES | November 14, 2024 |
| Certification date | November 14, 2024 |
| Mailing address | 5113 S Harper Ave Ste 2c, Chicago, IL 60615-4119 |
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