Individual
DORIS N AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW MW
Contact information
Practice address
6551 W NORTH AVE, OAK PARK, IL 60302
(708) 445-0480
(708) 445-0495
Mailing address
PO BOX 5320, RIVER FOREST, IL 60305
(708) 445-0480
(708) 445-0495
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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