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Individual

MRS. LATONYA WEST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MHS, BSW, CADC

Contact information

Practice address
1640 215TH PL, SAUK VILLAGE, IL 60411
(708) 833-8208
Mailing address
1640 215TH PL, SAUK VILLAGE, IL 60411
(708) 833-8208

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
08/31/2016
Last updated
08/31/2016
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