Individual
MS. DIANA VASQUEZ-ALCALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
800 MAIN ST STE 210, ANTIOCH, IL 60002-1578
(847) 650-3899
Mailing address
800 MAIN ST STE 210, ANTIOCH, IL 60002-1578
(847) 242-1280
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149006112
IL
Other
Enumeration date
09/19/2021
Last updated
02/08/2022
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