Individual
CRUZ MANUEL MEZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
277 83RD ST, SUITE D, BURR RIDGE, IL 60527
(630) 891-3027
Mailing address
440 EAGLE DR APT 206, ELK GROVE VILLAGE, IL 60007-4737
(773) 307-5804
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149023682
IL
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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