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Individual

ALLISON CETINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1416 W BELMONT AVE, CHICAGO, IL 60657-0939
(630) 779-9222
Mailing address
1336 N DAMEN AVE APT 104, CHICAGO, IL 60622-2298
(630) 779-9222

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.104990
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
150.104990
IDFPR
IL
Enumeration date
04/05/2021
Last updated
04/05/2021
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