Individual
MRS. LATASHA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 E 103RD ST, CHICAGO, IL 60628-2807
(312) 371-3618
Mailing address
9405 S ADA ST, CHICAGO, IL 60620-3608
(773) 615-8805
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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