Individual
LATANDA TERRY-GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10046 S WESTERN AVE, CHICAGO, IL 60643-1926
(773) 429-0300
(773) 429-5736
Mailing address
8447 S GREEN ST, CHICAGO, IL 60620-3208
(773) 557-2743
(773) 429-0300
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
16329385
IL
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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