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Individual

MISS FRA ANGELICA S FARINAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1345 N ASHLAND AVE, CHICAGO, IL 60622-7391
(773) 615-1598
Mailing address
6456 N MOZART ST, CHICAGO, IL 60645-5224
(773) 615-1598

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IL

Other

Enumeration date
10/23/2007
Last updated
10/23/2007
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