Most Relevant Information
Provider Data
| NPI Number: | 1003513474 |
| Provider Name: | ALLISON NICOLE MANELLA LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 2022034916 |
Most Important Dates
| Enumeration Date: | 02/15/2023 |
| Last Updated: | 05/16/2023 |
Provider Practice Location
311 W SUPERIOR ST STE 402
CHICAGO
IL
606543537
Practice Location Phone/Fax
| Phone: | 3125842144 |
| Fax: | 3129718554 |
Provider Mailing Location
1438 W BELMONT AVE STE 1
CHICAGO
IL
606572166
Provider Mailing Phone/Fax
| Phone: | 3125083645 |
| Fax: | 3129718554 |