Individual
TONYE DENISE LATTIMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10343 S WESTERN AVE, CHICAGO, IL 60643-2410
(708) 708-6010
Mailing address
719 SHADY ACRES LN, CALUMET CITY, IL 60409-3711
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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