Individual
ERIN MARIE CANTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
127662-121
WI
1041C0700X
Clinical Social Worker
Primary
149013222
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216642
MEDICARE ID #
IL
Enumeration date
09/22/2009
Last updated
11/12/2013
Update your record
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