MARIA LAGO

BERWYN, IL
NPI1235341694
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
(Licence: IL  ML31740803P)
Enumeration Date2007-05-05
Last Update Date2007-07-23
Business Address
MARIA LAGO DT
3146 MAPLE AVE
BERWYN, IL 60402-2851
Phone number: 708-308-8351
Mailing Address
MARIA LAGO DT
3146 MAPLE AVE
BERWYN, IL 60402-2851
Phone number: 708-484-8361
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