Individual
MS. MELINDA VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1414 MAIN, MELROSE PARK, IL 60160
(708) 681-0073
(708) 681-3958
Mailing address
6855 W CORTLAND, ELMWOOD PARK, IL 60707
(773) 941-1351
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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