Individual
MARITZA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4572 N MELVINA AVE, CHICAGO, IL 60630-3014
(773) 430-9590
Mailing address
4572 N MELVINA AVE, CHICAGO, IL 60630-3014
(773) 430-9590
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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