Individual
ANA L FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4326 W MONTROSE AVE, CHICAGO, IL 60641-2016
(773) 883-9100
(773) 883-0005
Mailing address
4326 W MONTROSE AVE, CHICAGO, IL 60641-2016
(773) 883-9100
(773) 883-0005
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150109160
IL
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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