Individual
ALEXANDRA MABEL LATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 N DEARBORN ST, CHICAGO, IL 60610-7835
(414) 627-0106
Mailing address
1409 W CARROLL AVE, CHICAGO, IL 60607-1105
(312) 733-0883
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
11/01/2024
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