Individual
MS. LEDORA E PATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15040 OAK ST, DOLTON, IL 60419-2641
(773) 879-3145
(708) 841-0851
Mailing address
15040 OAK ST, DOLTON, IL 60419-2641
(773) 879-3145
(708) 841-0851
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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