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Individual

LAURALYNN ALTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MHP

Contact information

Practice address
474 SUMMIT ST, ELGIN, IL 60120-3829
(224) 535-9555
(224) 241-3183
Mailing address
474 SUMMIT ST, ELGIN, IL 60120-3829
(224) 535-9555
(224) 241-3183

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
465327438001
IL
Enumeration date
10/22/2015
Last updated
10/22/2015
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