Individual
JADHAI VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4936 S PAULINA ST, CHICAGO, IL 60609-4833
(773) 996-8051
Mailing address
4936 S PAULINA ST, CHICAGO, IL 60609-4833
(773) 996-8051
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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