Individual
CRISTINA NOEL BETANCES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4710 LINCOLN HWY, #321, MATTESON, IL 60443-2316
(773) 420-3481
(773) 420-3597
Mailing address
6120 W SCHOOL ST, CHICAGO, IL 60634-4109
(773) 255-5481
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.007700
IL
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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