Individual
LAURA TENHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
513 WARSAW ST, GOLDEN, IL 62339-1051
(217) 242-9999
Mailing address
513 WARSAW ST, GOLDEN, IL 62339-1051
(217) 242-9999
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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