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Individual

AMANDA LYN LAUKANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.C.S.W.

Contact information

Practice address
9346 WASHINGTON AVE, BROOKFIELD, IL 60513-1216
(212) 439-1124
Mailing address
9346 WASHINGTON AVE, BROOKFIELD, IL 60513-1216
(212) 439-1124

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
089101
NY
1041C0700X
Clinical Social Worker
149025855
IL
1041C0700X
Clinical Social Worker
Primary
CSW.09923751
CO

Other

Enumeration date
02/04/2015
Last updated
11/22/2024
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