Individual
LAURA M PRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 S VIRGINIA ST, CRYSTAL LAKE, IL 60014-5845
(815) 707-4806
(815) 977-8715
Mailing address
39W234 E MALLORY DR. GENEVA IL 60134, GENEVA, IL 60134
(630) 386-3866
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150104055
IL
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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