Individual
EVA REYNOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7627 LAKE STREET, SUITE 206 PMB 1095, RIVER FOREST, IL 60305
(708) 513-8452
Mailing address
7627 LAKE STREET, SUITE 206 PMB 1095, RIVER FOREST, IL 60305
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
149020664
IL
Other
Enumeration date
03/26/2015
Last updated
09/22/2023
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