Provider Demographics
NPI:1508205253
Name:AVALOS-DELCID, FLORENCIA GERALDINA (MSW)
Entity Type:Individual
Prefix:MS
First Name:FLORENCIA
Middle Name:GERALDINA
Last Name:AVALOS-DELCID
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-3240
Mailing Address - Country:US
Mailing Address - Phone:847-432-4981
Mailing Address - Fax:
Practice Address - Street 1:777 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-3240
Practice Address - Country:US
Practice Address - Phone:847-432-4981
Practice Address - Fax:847-432-7331
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-16
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical