Individual
LA.THIANG ARNOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 VILLAGE PARK DR APT 205, WAUKEGAN, IL 60087-4105
(217) 853-7430
Mailing address
2500 VILLAGE PARK DR APT 205, WAUKEGAN, IL 60087-4105
(217) 853-7430
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.015944
IL
Other
Enumeration date
07/27/2020
Last updated
09/03/2024
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