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Individual

MS. BARBARA A LADD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
900 PYOTT RD, SUITE 101, CRYSTAL LAKE, IL 60014-8716
(815) 444-8604
(815) 444-8624
Mailing address
900 PYOTT RD, SUITE 101, CRYSTAL LAKE, IL 60014-8716
(815) 444-8604
(815) 444-8624

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.014925
IL

Other

Enumeration date
01/20/2009
Last updated
10/01/2012
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