Individual
MITTIE FARLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
858 BURNHAM AVE, CALUMET CITY, IL 60409-4728
(708) 891-5429
Mailing address
2100 YORK ST APT 2F, BLUE ISLAND, IL 60406-2568
(708) 829-9723
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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