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Individual

MARLENE PENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
2000 N RACINE AVE STE 3300, CHICAGO, IL 60614-7008
(773) 413-9523
Mailing address
2000 N RACINE AVE # 3000, CHICAGO, IL 60614-7006
(773) 413-9523

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.107243
IL

Other

Enumeration date
04/15/2022
Last updated
04/17/2022
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