Individual
ALEXA TATYANNA SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1803 N CALIFORNIA AVE, CHICAGO, IL 60647-5105
(773) 658-9272
Mailing address
1461 W FRY ST APT 4R, CHICAGO, IL 60642-5350
(312) 757-9808
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.114445
IL
Other
Enumeration date
09/28/2024
Last updated
09/28/2024
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