Individual
JACLYN CONTRERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1123 FORTUNA AVE, PARK RIDGE, IL 60068-1956
(847) 975-5128
Mailing address
1123 FORTUNA AVE, PARK RIDGE, IL 60068-1956
(847) 975-5128
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150106243
IL
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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