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Individual

DIANA COSAJAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
5341 W CERMAK RD, CICERO, IL 60804-2892
(708) 656-6439
(708) 656-6591
Mailing address
3312 S 61ST CT, CICERO, IL 60804-3725
(708) 368-9610

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1831119767
IL
Enumeration date
08/22/2023
Last updated
08/22/2023
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