Most Relevant Information
Provider Data
| NPI Number: | 1003431180 |
| Provider Name: | LAURA K WOITAS MA, QMHP |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/14/2020 |
| Last Updated: | 06/14/2020 |
Provider Practice Location
8707 SKOKIE BLVD STE 207
SKOKIE
IL
600772272
Practice Location Phone/Fax
| Phone: | 8476738577 |
| Fax: |
Provider Mailing Location
6565 N HARLEM AVE APT 3N
CHICAGO
IL
606313925
Provider Mailing Phone/Fax
| Phone: | 6302096782 |
| Fax: |