DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GLEN SEKOU FONDREN, LSW

Active

MR. GLEN SEKOU FONDREN, LSW is a Social Worker healthcare provider located in MELROSE PARK, Illinois. NPI 1275801110 is currently active in the NPPES registry. Verify at CMS.

Social Worker · MELROSE PARK, IL

Registration Details

NPI Number
1275801110
Provider Type
Individual
Gender
Male
NPI Issued
Dec 7, 2011 (14.646492269713 yrs)
Last Updated
Sep 17, 2024
License
104100000X (IL)

Practice Information

Address
1414 MAIN ST
MELROSE PARK, IL, 601603902
Browse IL providers · Browse ZIP 60160
Phone
7086810073
Primary Specialty
Social Worker
104100000X

Other Social Worker Providers in MELROSE PARK, IL

Name Credential NPI
MRS. TERESA WALKER L.S.W. 1831231976
SUE A WARWIK LSW 1518245570
MS. MELINDA VAZQUEZ MSW 1285913384
MR. JOHN MYRON NETHERLY MSW 1588936843
ALMA R LLAMAS 1407276074
MS. BREEANNA HORTON 1629450291
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.