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Individual

EDUAR VAZQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
3384 CAMERON DR, ELGIN, IL 60124-8025
(224) 800-0296
Mailing address
3384 CAMERON DR, ELGIN, IL 60124-8025
(224) 800-0296

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.014054
IL

Other

Enumeration date
10/24/2014
Last updated
10/24/2014
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