Individual
BIANCA IVETTE MENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2219 N KENMORE AVE, CHICAGO, IL 60614-3504
(773) 325-7780
(773) 325-7781
Mailing address
5114 S MONITOR AVE, CHICAGO, IL 60638-1518
(773) 580-5335
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.023227
IL
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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