Individual
LAUREN E HEILBRUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61 WOODSIDE RD, RIVERSIDE, IL 60546-1974
(708) 447-7214
Mailing address
61 WOODSIDE RD, RIVERSIDE, IL 60546-1974
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1057651
IL
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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