Individual
MRS. LYNNEA LAURA MONCOFSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2300 GLENWOOD AVE, JOLIET, IL 60435-5581
(815) 730-2617
Mailing address
2300 GLENWOOD AVE, JOLIET, IL 60435-5581
(815) 730-2617
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
1115139
NY
222Q00000X
Developmental Therapist
2161882
NY
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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