Individual
LASHAE HOPPS-DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10822 S WOOD ST, CHICAGO, IL 60643-3418
(815) 501-4894
Mailing address
10822 S WOOD ST, CHICAGO, IL 60643-3418
(815) 501-4894
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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