Individual
LAURA EHAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 CLEARMONT DR, ELK GROVE VILLAGE, IL 60007-4036
(847) 754-1093
Mailing address
104 CLEARMONT DR, ELK GROVE VILLAGE, IL 60007-4036
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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