Provider Demographics
NPI:1366817959
Name:FEBLES, MARIA ANGELA (BSW)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ANGELA
Last Name:FEBLES
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 BERTRAM DR.
Mailing Address - Street 2:UNIT O
Mailing Address - City:YORKVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60560
Mailing Address - Country:US
Mailing Address - Phone:630-486-7361
Mailing Address - Fax:
Practice Address - Street 1:128 BERTRAM DR
Practice Address - Street 2:UNIT O
Practice Address - City:YORKVILLE
Practice Address - State:IL
Practice Address - Zip Code:60560-3209
Practice Address - Country:US
Practice Address - Phone:630-486-7361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-08
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker