Individual
MRS. LAURALYN RANDLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COMS
Contact information
Practice address
228 ROBINSON DR, MORRIS, IL 60450-1438
(815) 325-2999
Mailing address
228 ROBINSON DR, MORRIS, IL 60450-1438
(815) 325-2999
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2477633
TEACHER OF THE VISUALLY IMPAIRED
IL
Enumeration date
07/12/2016
Last updated
07/12/2016
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