Individual
MRS. ADELAIDA MARAVILLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5440 HIGHLAND CT, CRESTWOOD, IL 60418-1351
(708) 439-7819
Mailing address
5440 HIGHLAND CT, CRESTWOOD, IL 60418-1351
(708) 439-7819
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.017248
IL
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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