Individual
MS. FERNANDA MAYTORENA-UNGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6925 CERMAK RD, BERWYN, IL 60402-2248
(708) 780-7400
(708) 780-7423
Mailing address
3547 RIDGELAND AVE, BERWYN, IL 60402-3848
(708) 567-7342
(708) 780-7423
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149022511
IL
1041C0700X
Clinical Social Worker
SW22963
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149022511
LICENSE
IL
Enumeration date
01/12/2021
Last updated
10/01/2024
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