Individual
AMY LAVERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1414 MAIN ST, MELROSE PARK, IL 60160-3902
(708) 681-4357
Mailing address
1414 MAIN ST, MELROSE PARK, IL 60160-3902
(708) 681-4357
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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