Individual
EMILY SPAIN-LAVENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8324 SKOKIE BLVD, SKOKIE, IL 60077-2545
(847) 933-0051
Mailing address
555 S SUNNYSIDE AVE, ELMHURST, IL 60126-3743
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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