Individual
LAVERN ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12141 S LOOMIS ST, CHICAGO, IL 60643-5415
(708) 898-5377
Mailing address
PO BOX 439256, CHICAGO, IL 60643-9256
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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