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Individual

MRS. LARA POLAVIEJA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
13300 DIVISION, SUITE B7, PLAINFIELD, IL 60585
(815) 577-3666
Mailing address
3250 HAVERHILL DR, AURORA, IL 60502-7016
(630) 978-0741

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1041S0200X
School Social Worker
Primary
IL

Other

Enumeration date
02/13/2007
Last updated
09/11/2025
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