Individual
MRS. LAKESHIA MARIE SUMRALL-CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
9128 S TROY AVE, EVERGREEN PARK, IL 60805-1628
(773) 793-3386
Mailing address
9128 S TROY AVE, EVERGREEN PARK, IL 60805-1628
(773) 793-3386
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180007546
IL
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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