Individual
BLANCA E SEPULVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
50 E WASHINGTON ST STE 301, CHICAGO, IL 60602-2142
(312) 252-9500
Mailing address
2226 W 18TH PL APT 1B, CHICAGO, IL 60608-2531
(773) 895-3128
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.021351
IL
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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