Individual
MS. DEMETRICE LA'SHON BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3001 GREEN BAY RD, BLDG 1, ROOM 209A, NORTH CHICAGO, IL 60064-3048
(224) 610-3592
Mailing address
1951 LANGLEY ST APT C, GREAT LAKES, IL 60088-1021
(224) 610-3592
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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