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Individual

ASHLEY DE LA PAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
277 83RD ST, SUITE D, BURR RIDGE, IL 60527
(630) 891-3027
Mailing address
1007 RIDGE RD, SHOREWOOD, IL 60404-9621
(630) 946-4755

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
150104371
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
150104371
BCBS
IL
Enumeration date
01/21/2021
Last updated
01/23/2021
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