Individual
MS. LORETTA LYNN COLHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
16221 W 159TH ST, LOCKPORT, IL 60441-7901
(888) 428-7890
Mailing address
1700 ARBOR LN APT 303B, CREST HILL, IL 60403-2132
(779) 939-3052
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150013247
IL
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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