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JEROME PIETRUSIAK, LICENSED CLINICAL SO

LICENSED CLINICAL SO

Clinical Social Worker

NPI: 1679793913IndividualAccepts Medicare

Specialties, Licenses & Credentials

Social Worker

Social Worker

Code: 104100000X

149002241(IL)
Clinical Social WorkerPrimary

Social Worker — Clinical

Code: 1041C0700X

149.002241(IL)

CMS Specialties

PrimaryCLINICAL SOCIAL WORKER

Education

OTHER

Class of 1983

Contact & Hours

Address
3456 W FRANKLIN BLVD
CHICAGO, IL 60624

Quick Facts

NPI
1679793913
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
43

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