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Individual

LAURA RENEE WRZESINSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
5131 N LINCOLN AVE STE 1, CHICAGO, IL 60625-2584
(971) 930-0089
Mailing address
5131 N LINCOLN AVE STE 1, CHICAGO, IL 60625-2584
(971) 930-0089

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
166.000996
IL
106H00000X
Marriage & Family Therapist
T1159
OR
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
06/22/2012
Last updated
02/09/2022
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