Most Relevant Information
Provider Data
| NPI Number: | 1003478215 |
| Provider Name: | MARILU SANTA CRUZ LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 149.021270 |
Most Important Dates
| Enumeration Date: | 07/08/2019 |
| Last Updated: | 09/24/2019 |
Provider Practice Location
5140 S HYDE PARK BLVD APT 15E
CHICAGO
IL
606154265
Practice Location Phone/Fax
| Phone: | 3059920395 |
| Fax: |
Provider Mailing Location
5140 S HYDE PARK BLVD APT 15E
CHICAGO
IL
606154265
Provider Mailing Phone/Fax
| Phone: | 3059920395 |
| Fax: |