Individual
MRS. LAURA ANN WALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1657 W CORTLAND ST, CHICAGO, IL 60622-1119
(877) 486-4140
Mailing address
1657 W CORTLAND ST, CHICAGO, IL 60622-1119
(877) 486-4140
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150-001122
IL
Other
Enumeration date
09/22/2014
Last updated
09/28/2014
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