Individual
MS. LATANYA DENISE COBBINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4943 W THOMAS ST, CHICAGO, IL 60651-3129
(630) 202-0131
Mailing address
4943 W THOMAS ST, CHICAGO, IL 60651-3129
(630) 202-0131
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/04/2012
Last updated
05/04/2012
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