Individual
MARIANA REYES DAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 W BELMONT AVE STE 300, CHICAGO, IL 60657-3200
(872) 228-1211
Mailing address
3924 N PINE GROVE AVE APT 2W, CHICAGO, IL 60613-3334
(224) 714-8490
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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