Individual
MELISSA ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5801C N PULASKI RD, CHICAGO, IL 60646-6051
(312) 744-1906
Mailing address
3028 W 54TH ST, CHICAGO, IL 60632-2606
(773) 499-4140
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.109802
IL
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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