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Organization
RONALD A PESTANA LCSW LLC
Active
Organization
RONALD A PESTANA LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD PESTANA LCSW (OWNER)
(773) 405-1894
Entity
Organization
Contact information
Practice address
626 W WAVELAND AVE APT 4E, CHICAGO, IL 60613-4249
(773) 405-1894
Mailing address
626 W WAVELAND AVE APT 4E, CHICAGO, IL 60613-4249
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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