Individual
MRS. LATONJANETTE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1106 RIVERLANE DR, BRADLEY, IL 60915-1947
(815) 671-7092
Mailing address
150 MEADOWS RD N APT 4, BOURBONNAIS, IL 60914-1450
(414) 699-4043
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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