Individual
ELSA MONTOTO VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2318 N LOWELL AVE, CHICAGO, IL 60639-3520
(773) 550-3143
Mailing address
2318 N LOWELL AVE, CHICAGO, IL 60639-3520
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.015412
IL
Other
Enumeration date
07/28/2014
Last updated
03/04/2024
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