Individual
DIONNA MANTUCCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
126 W VALLETTE ST, ELMHURST, IL 60126-4451
(844) 984-7252
Mailing address
642 S YALE AVE, VILLA PARK, IL 60181-2872
(708) 915-9078
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.107796
IL
Other
Enumeration date
09/26/2022
Last updated
11/06/2022
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