MYRA DORENE WEST

PARK FOREST, IL
NPI1225224827
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: IL  071007264)
Enumeration Date2007-09-18
Last Update Date2010-04-09
Business Address
Dr. MYRA DORENE WEST Psy.D.
200 LAKEWOOD BLVD
PARK FOREST, IL 60466-1718
Phone number: 708-481-9799
Mailing Address
Dr. MYRA DORENE WEST Psy.D.
200 LAKEWOOD BLVD
PARK FOREST, IL 60466-1718
Phone number: 708-481-9799
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