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Individual

LAURA LOEWEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
404 W 144TH ST, RIVERDALE, IL 60827-2644
(708) 841-0347
(708) 260-9396
Mailing address
404 W. 144TH STREET, RIVER DALE, IL 60827
(708) 841-0347
(708) 260-9396

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150011853
IL

Other

Enumeration date
07/06/2009
Last updated
07/06/2009
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