Most Relevant Information
Provider Data
| NPI Number: | 1003248980 |
| Provider Name: | MIRIAM KLEVAN LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 149.012508 |
Most Important Dates
| Enumeration Date: | 08/02/2013 |
| Last Updated: | 08/02/2013 |
Provider Practice Location
2141 W LE MOYNE ST
CHICAGO
IL
606221813
Practice Location Phone/Fax
| Phone: | 3125153964 |
| Fax: |
Provider Mailing Location
2141 W LE MOYNE ST
CHICAGO
IL
606221813
Provider Mailing Phone/Fax
| Phone: | 3125153964 |
| Fax: |