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Individual

MS. LORIE ESTHER FUENTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2715 N CENTRAL AVE, CHICAGO, IL 60639-1351
(773) 360-1389
(773) 687-9412
Mailing address
4222 W POTOMAC AVE, CHICAGO, IL 60651-1854
(773) 818-9430
(773) 687-9412

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
150.108067
IL
101YM0800X
Mental Health Counselor
104100000X
Social Worker
150.108067
IL
104100000X
Social Worker

Other

Enumeration date
05/26/2022
Last updated
06/03/2022
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