Individual
DR. MORGAN ANNE LASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
444 GREEN BAY RD, KENILWORTH, IL 60043-1001
(847) 853-0234
Mailing address
1613 MONROE ST APT 1N, EVANSTON, IL 60202-2058
(773) 573-0884
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071010265
IL
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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