Individual
MR. ANGEL SIFUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
6415 STANLEY AVE, BERWYN, IL 60402-3130
(708) 745-5277
Mailing address
6415 STANLEY AVE, BERWYN, IL 60402-3130
(708) 745-5277
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.104064
IL
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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