Individual
JENNIFER M VERGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
4722 ARBOR DR APT 207, ROLLING MEADOWS, IL 60008-4426
(312) 388-5394
Mailing address
110 S HAGER AVE, BARRINGTON, IL 60010-4168
(847) 381-0345
(847) 381-9297
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150013629
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
362815350
BARRINGTON YOUTH & FAMILY SERVICES
IL
Enumeration date
10/18/2012
Last updated
10/18/2012
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