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1902418114
LATIA KATHERINE LANE
CHICAGO, IL
NPI
1902418114
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149020115)
Enumeration Date
2020-08-19
Last Update Date
2020-08-19
Business Address
LATIA KATHERINE LANE LCSW
3300 S ASHLAND AVE # 3F
CHICAGO, IL 60608-6206
Phone number: 313-492-8093
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Mailing Address
LATIA KATHERINE LANE LCSW
3300 S ASHLAND AVE # 3F
CHICAGO, IL 60608-6206
Phone number: 313-492-8093
Copy
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