Individual
DIANNE E LOZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S
Contact information
Practice address
1414 MAIN ST, MELROSE PARK, IL 60160-3902
(708) 681-4357
Mailing address
1414 MAIN ST, MELROSE PARK, IL 60160-3902
(773) 540-0575
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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