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Organization
FERNANDA MAYTORENA-UNGER
Active
Organization
FERNANDA MAYTORENA-UNGER
Active
Other names
Resilience
Organization subpart
No
Provider details
NPI number
Authorized official
MAYLIN ALUNAN (ADMINISTRATOR)
(630) 280-0607
Entity
Organization
Contact information
Practice address
6925 CERMAK RD, BERWYN, IL 60402-2248
(708) 567-7342
(949) 437-2647
Mailing address
3547 RIDGELAND AVE, BERWYN, IL 60402-3848
(708) 567-7342
(949) 437-2647
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149022511
LCSW LICENSE
IL
01
—
1518556778
NPI
IL
Enumeration date
02/07/2021
Last updated
02/10/2021
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