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Individual

MARIO VINCENT RAINES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW, LSW

Contact information

Practice address
1010 LAKE ST, OAK PARK, IL 60301-1147
(630) 428-7890
Mailing address
7500 W JONQUIL TER, NILES, IL 60714-3106
(847) 721-1870

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.104589
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
150.104589
SOCIAL WORK LICENSE
IL
Enumeration date
04/01/2021
Last updated
04/01/2021
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