Individual
LAKEITTA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
70 E LAKE ST STE 1220, CHICAGO, IL 60601-5939
(312) 796-9507
Mailing address
1137 E BOWEN AVE APT 2A, CHICAGO, IL 60653-2827
(773) 844-1284
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/18/2020
Last updated
04/16/2023
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