Individual
LORA MICHELLE LABADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.T.
Contact information
Practice address
212 W ELLEN AVE, CORTLAND, IL 60112-4120
(815) 754-4994
Mailing address
212 W ELLEN AVE, CORTLAND, IL 60112-4120
(815) 754-4994
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
222Q00000X
IL
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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