MR. Glen Sekou Fondren, LSW
NPI #1275801110 in Melrose Park, Illinois
Provider Information
- NPI Number
- 1275801110
- Entity Type
- Individual
- Name
- MR. Glen Sekou Fondren, LSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Credential
- LSW
- Enumeration Date
- Dec 7, 2011
- Last Updated
- Sep 17, 2024
Practice Location
- Address
- 1414 MAIN ST
- City
- Melrose Park
- State
- Illinois
- ZIP Code
- 60160-3902
- Phone
- (708) 681-0073
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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