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Individual

EMILIE FRANCES LOTHSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1004 COMMERCIAL ST, SYCAMORE, IL 60178-2502
(815) 909-7079
Mailing address
1004 COMMERCIAL ST, SYCAMORE, IL 60178-2502
(815) 909-7079

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
11/28/2018
Last updated
01/16/2019
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