Most Relevant Information
Provider Data
| NPI Number: | 1003452541 |
| Provider Name: | BLANCA E SEPULVEDA LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 149.021351 |
Most Important Dates
| Enumeration Date: | 11/19/2019 |
| Last Updated: | 11/19/2019 |
Provider Practice Location
50 E WASHINGTON ST STE 301
CHICAGO
IL
606022142
Practice Location Phone/Fax
| Phone: | 3122529500 |
| Fax: |
Provider Mailing Location
2226 W 18TH PL APT 1B
CHICAGO
IL
606082531
Provider Mailing Phone/Fax
| Phone: | 7738953128 |
| Fax: |