LATAVIA S AGADA

Dr LATAVIA S AGADA is a female medical professional, specializing in Clinical Social Worker. She graduated in 2013.

Contact

457 COVENTRY LN
SUITE 118A
CRYSTAL LAKE
IL
600147571

Tel:

LATAVIA S AGADA Information

Npi 1417338799
Pac Id 1355636804
Professional Enrollment Id I20160823000339
Last Name AGADA
First Name LATAVIA
Middle Name S
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2013
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 457 COVENTRY LN
Line 2 Street Address SUITE 118A
Marker Of Address Line 2 Suppression
City CRYSTAL LAKE
State IL
Zip Code 600147571
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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