Individual
LAURA M TATGENHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
840 W IRVING PARK RD STE 302, CHICAGO, IL 60613-3011
(773) 659-9207
Mailing address
840 W IRVING PARK RD STE 302, CHICAGO, IL 60613-3011
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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