Individual
ALEJANDRA Q CORONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1080 E PARK ST, CARBONDALE, IL 62901-3812
(618) 529-1151
(618) 549-9540
Mailing address
3204 EAGLE WAY, CHICAGO, IL 60678-1032
(630) 717-2258
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.102530
IL
Other
Enumeration date
04/30/2018
Last updated
09/24/2018
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