Individual
NANCY AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3249 N CENTRAL AVE, CHICAGO, IL 60634-4360
(773) 371-3700
(773) 282-6698
Mailing address
3249 N CENTRAL AVE, CHICAGO, IL 60634-4360
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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