Provider Information for 1295268126
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ANA HERRERA-GONZALEZ LCSW
Sex: Female
NPI: 1295268126
Last Updated: 2022-02-04
Certification Date: 2022-02-04
Certification Date: 2022-02-04
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1295268126 | ||||||||
| Enumeration Date | 2017-04-07 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 6139 S. MCVICKER CHICAGO, IL 60638 United States Phone: 773-720-2482 | Fax: | ||||||||
| Primary Practice Address | 6139 S. MCVICKER CHICAGO, IL 60638 United States Phone: 773-720-2482 | Fax: | ||||||||
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