Individual
ADRIANA FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6201 CERMAK RD, BERWYN, IL 60402-5742
(708) 627-2710
Mailing address
4317 N MONITOR AVE, CHICAGO, IL 60634-1744
(773) 606-3147
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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