Individual
BELLA NATHALY MUCINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2535 N SPRINGFIELD AVE, CHICAGO, IL 60647-1028
(773) 575-3763
Mailing address
2535 N SPRINGFIELD AVE, CHICAGO, IL 60647-1028
(773) 575-3763
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.108772
IL
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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