Individual
MS. LAURIE D. ROSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3545 LAKE AVE, WILMETTE, IL 60091-1058
(847) 251-7350
(847) 853-2600
Mailing address
9512 LINCOLNWOOD DR, EVANSTON, IL 60203-1116
(847) 677-7661
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149-001171
IL
Other
Enumeration date
08/03/2006
Last updated
08/02/2011
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