Individual
LAURA K WOITAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, QMHP
Contact information
Practice address
8707 SKOKIE BLVD STE 207, SKOKIE, IL 60077-2272
(847) 673-8577
Mailing address
6565 N HARLEM AVE APT 3N, CHICAGO, IL 60631-3925
(630) 209-6782
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
06/14/2020
Last updated
06/14/2020
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