Provider Information for 1053521807
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Ms. BARBARA C WAHLER MSW, LCSW
Sex: Female
NPI: 1053521807
Last Updated: 2010-10-07
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1053521807 | ||||||||
| Enumeration Date | 2007-05-23 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1442 W PRATT BLVD CHICAGO, IL 60626-4216 United States Phone: 773-580-0448 | Fax: | ||||||||
| Primary Practice Address | 4753 N BROADWAY AVE SUITE 608 CHICAGO, IL 60640 United States Phone: 773-580-0448 | Fax: | ||||||||
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