Individual
LAUREN ROBYN MADON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
424 W MADISON ST, OTTAWA, IL 61350-2833
(815) 433-3953
(815) 433-3980
Mailing address
424 W MADISON ST, OTTAWA, IL 61350-2833
(815) 433-3953
(815) 433-3980
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
150102557
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07012020
EMPLOYEE ID
IL
Enumeration date
07/08/2020
Last updated
07/08/2020
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