Individual
LOURDES ROCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4071 N BROADWAY ST, CHICAGO, IL 60613-2117
(708) 405-9409
(872) 231-2401
Mailing address
4071 N BROADWAY ST, CHICAGO, IL 60613-2117
(708) 405-9409
(872) 231-2401
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150102161
IL
Other
Enumeration date
05/17/2017
Last updated
11/05/2020
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