Individual
JESUS SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LSW
Contact information
Practice address
850 S MCHENRY AVE STE A, CRYSTAL LAKE, IL 60014-7442
(815) 455-6124
Mailing address
529 FREMONT ST, WOODSTOCK, IL 60098-4066
(217) 220-7479
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.114970
IL
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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