Individual
OTTO ALEJANDRO CORZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
365 MILLENNIUM DR STE A, CRYSTAL LAKE, IL 60012-3747
(815) 477-4720
Mailing address
365 MILLENNIUM DR STE A, CRYSTAL LAKE, IL 60012-3747
(815) 477-4720
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.112986
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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