Individual
AMY VENEGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2N347 COLT DR, ELBURN, IL 60119-9580
(847) 732-1406
Mailing address
2N347 COLT DR, ELBURN, IL 60119-9580
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
105.111046
IL
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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