Individual
TREANA MONROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
619 BRUMMEL ST APT 22, EVANSTON, IL 60202-3548
(773) 480-5344
Mailing address
619 BRUMMEL ST APT 22, EVANSTON, IL 60202-3548
(773) 480-5355
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
IL
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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