Individual
LATRENDA CARLETTE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2035 CHERRY AVE, HANOVER PARK, IL 60133-3572
(847) 893-6663
Mailing address
2035 CHERRY AVE, HANOVER PARK, IL 60133-3572
(847) 893-6663
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
30105
IL
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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