Individual
ELLA FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
115 W COSSITT AVE, LA GRANGE, IL 60525-2331
(708) 215-6271
Mailing address
115 W COSSITT AVE, LA GRANGE, IL 60525-2331
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1911853
IL
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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