Individual
MR. ANGEL FERNANDO FREIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5080 N ELSTON AVE, CHICAGO, IL 60630-2459
(312) 912-7480
Mailing address
PO BOX 613, TINLEY PARK, IL 60477-0613
(312) 912-7480
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149006037
IL
Other
Enumeration date
09/28/2006
Last updated
08/17/2020
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