Individual
ROSANA VAZQUEZ-ALCARAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-7891
Mailing address
814 MEEKER AVE, JOLIET, IL 60432-1650
(815) 919-6079
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.010022
IL
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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