Most Relevant Information
Provider Data
| NPI Number: | 1003453895 |
| Provider Name: | ALLISON MOZDZEN LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 149.019705 |
Most Important Dates
| Enumeration Date: | 11/29/2019 |
| Last Updated: | 02/08/2024 |
Provider Practice Location
1841 W MELROSE ST APT 2
CHICAGO
IL
606578213
Practice Location Phone/Fax
| Phone: | 8472390014 |
| Fax: |
Provider Mailing Location
1841 W MELROSE ST APT 2
CHICAGO
IL
606578213
Provider Mailing Phone/Fax
| Phone: | 8472390014 |
| Fax: |