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Individual

MRS. DIANA LYNN MORALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-7012
(773) 826-2793
Mailing address
428 WISCONSIN AVE, UNIT 2N, OAK PARK, IL 60302-3686
(312) 569-7012
(773) 826-2793

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
150012719
IL

Other

Enumeration date
03/10/2015
Last updated
03/10/2015
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