Mauricio J Cifuentes LCSW

NPI 1609029404 - Social Worker - 1041C0700X

NPI Details
NPI 1609029404
Gender Male
Enumeration Date 10/24/2008
Last Updated 10/24/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
3047 N LINCOLN AVE UNIT 400
CHICAGO IL, 60657-4274, US
Phone (773) 849-4709
Fax (773) 883-1535
Business Location
6007 N SHERIDAN RD APT 36D
CHICAGO IL, 60660-3012, US
Phone
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Kansas
License Number 149011442
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According to our database, Mauricio J Cifuentes LCSW NPI is 1609029404, taxonomy code is 1041C0700X and license number is 149011442, license state is located at Kansas. Mauricio J Cifuentes LCSW physically located at 3047 N Lincoln Ave Unit 400, Chicago IL, 60657-4274. NPI Number Mauricio J Cifuentes LCSW has the Individual type.

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1609029404 NPI number is provided on an as is basis without warranty of any kind. 1609029404 is maintained by the National Plan & Provider Enumeration System. The contents of Mauricio J Cifuentes LCSW are for informational purposes only.