Individual
LAKESHA D HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DEVELOPMENTAL THERAP
Contact information
Practice address
15611 ASHLAND AVE, HARVEY, IL 60426-4207
(708) 299-1416
(708) 333-9339
Mailing address
15611 ASHLAND AVE, HARVEY, IL 60426-4207
(708) 299-1416
(708) 333-9339
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
222Q00000X
IL
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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