Individual
MAYRA SOTOMAYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6417 W IRVING PARK RD, CHICAGO, IL 60634-2437
(773) 777-7112
Mailing address
3518 BARB AVE, PARK CITY, IL 60085-5904
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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