Individual
ALENA LIMTHONGVIRATN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, MSW
Contact information
Practice address
682 W BOUGHTON RD STE B, BOLINGBROOK, IL 60440-2199
(630) 340-0517
Mailing address
235 ROMAN CIR, BOLINGBROOK, IL 60440-2592
(630) 340-0517
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.109221
IL
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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