LAURA A LICEA

CHICAGO, IL
NPI1023142494
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149-010496)
Enumeration Date2007-03-15
Last Update Date2007-07-09
Business Address
-- LAURA A LICEA LCSW
5359 W FULLERTON AVE
CHICAGO, IL 60639-1450
Phone number: 708-836-2785
Mailing Address
-- LAURA A LICEA LCSW
5359 W FULLERTON AVE
CHICAGO, IL 60639-1450
Phone number: 708-836-2785
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