Individual
FADIA DAMRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
23 CALENDAR CT STE 201, LA GRANGE, IL 60525-6327
(708) 617-9336
(708) 995-3806
Mailing address
23 CALENDAR CT STE 207, LA GRANGE, IL 60525-6327
(708) 745-5277
(708) 795-8610
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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