Individual
AMBER MARIE AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
212 S MARION ST, OAK PARK, IL 60302-3257
(312) 415-5507
Mailing address
1039 TOWNER DR, BOLINGBROOK, IL 60440-1653
(630) 863-5775
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.111676
IL
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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