Individual
MISS LAUREN ASHLEY PRENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
6N311 DINAH RD, MEDINAH, IL 60157-9689
(630) 893-1810
Mailing address
6N311 DINAH RD, MEDINAH, IL 60157-9689
(630) 893-1810
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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