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1700462090
ANGEL SIFUENTES
BERWYN, IL
NPI
1700462090
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: IL 150.104064)
Enumeration Date
2021-03-18
Last Update Date
2021-03-18
Business Address
Mr. ANGEL SIFUENTES LSW
6415 STANLEY AVE
BERWYN, IL 60402-3130
Phone number: 708-745-5277
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Mailing Address
Mr. ANGEL SIFUENTES LSW
6415 STANLEY AVE
BERWYN, IL 60402-3130
Phone number: 708-745-5277
Copy
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