Individual
LATANYA A HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
6415 STANLEY AVE, BERWYN, IL 60402-3130
(708) 268-0644
Mailing address
915 BERRY PATH TRL, MATTESON, IL 60443-2599
(708) 268-0644
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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