Individual
LAVONDA LARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1748 E 84TH PL, CHICAGO, IL 60617-2275
(312) 523-0728
Mailing address
2510 S KING DR, CHICAGO, IL 60616-2420
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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