Ethan Embry
Ethan Embry is a Clinical Social Worker in Chicago, Illinois. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1422 W Lunt Ave Apt 2NChicago, IL 60626-2843
Phone: (781) 248-9656
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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 | 1265289938 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 1, 2024 |
| Last updated in NPPES | May 1, 2024 |
| Certification date | May 1, 2024 |
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