Individual
STEPHANIE MARIE VAZQUEZ COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRC, MA
Contact information
Practice address
4840 W BYRON ST, CHICAGO, IL 60641-2712
(773) 282-7800
(773) 282-3916
Mailing address
4840 W BYRON ST, CHICAGO, IL 60641-2712
(773) 282-7800
(773) 282-3916
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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