Individual
MYRA LASHOUN MARSAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7935 S WOOD ST APT 2A, CHICAGO, IL 60620-0491
(773) 445-5841
Mailing address
7935 S WOOD ST APT 2A, CHICAGO, IL 60620-0491
(773) 445-5841
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
07/31/2019
Last updated
02/04/2022
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