Individual
BACH-TY THI TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
80 CHASE WAY, #B, HIGHLAND, IL 62249-3895
(310) 404-9544
Mailing address
80 CHASE WAY, #B, HIGHLAND, IL 62249-3895
(310) 404-9544
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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