Myrna Cavazos
Social Worker, Clinical in Chicago Heights, IL. Individual provider (NPI-1).
NPI number1497239339
StatusActive
Last updated in NPPESSep 17, 2018
Details
- NPI
- 1497239339
- Entity type
- Individual (NPI-1)
- Name
- Myrna Cavazos
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 17, 2018
- Last updated
- Sep 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149010736 | IL | Yes |
Practice location
540 W 16th PlChicago Heights, IL 60411-3114
Phone 630-220-7283
Mailing address
540 W 16th PlChicago Heights, IL 60411-3114
Phone 630-220-7283
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