Individual
DAMARIS VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6201 ROOSEVELT RD, BERWYN, IL 60402
(708) 386-0845
Mailing address
6201 ROOSEVELT RD, BERWYN, IL 60402-1108
(708) 386-0845
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149012663
IL
Other
Enumeration date
03/10/2016
Last updated
12/27/2019
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