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Individual

DONIZETTI RAZO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
5000 S. FIFTH AVENUE, BUILDING 228, ROOM 4078, HINES, IL 60141
(708) 202-4945
(708) 202-4954
Mailing address
5000 S. FIFTH AVENUE, BUILDING 228, ROOM 4078, HINES, IL 60141
(708) 202-4945
(708) 202-4954

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
11/07/2018
Last updated
11/07/2018
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