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Individual

BRENDA HERRERA DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
11S230 S JACKSON ST, BURR RIDGE, IL 60527-7098
(773) 739-6887
Mailing address
8635 PATRICIA DR, LYONS, IL 60534-1042
(708) 738-3650

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.116528
IL

Other

Enumeration date
07/28/2026
Last updated
07/28/2026
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