Alvina Ponder, B.S.

NPI #1912272279 in Cicero, Illinois

Provider Information

NPI Number: 1912272279
Entity Type: Individual
Name: Alvina Ponder, B.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: B.S.
Enumeration Date: Mar 19, 2012
Last Updated: Mar 19, 2012

Practice Location

Address: 5341 W CERMAK RD
City: Cicero
State: Illinois
ZIP Code: 60804-2817
Phone: (708) 656-6430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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