SARA E PROVIS

PARK RIDGE, IL
NPI1225800493
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  178.019455)
Enumeration Date2023-10-23
Last Update Date2023-10-23
Business Address
Mrs. SARA E PROVIS LPC
1422 LAVERNE AVE
PARK RIDGE, IL 60068-2561
Phone number: 847-529-8607
Mailing Address
Mrs. SARA E PROVIS LPC
1422 LAVERNE AVE
PARK RIDGE, IL 60068-2561
Phone number: 847-529-8607
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