MISS Lidya Agustina Tandayu, MA

NPI #1356136758 in Elgin, Illinois

Provider Information

NPI Number
1356136758
Entity Type
Individual
Name
MISS Lidya Agustina Tandayu, MA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
MA
Enumeration Date
Apr 14, 2025
Last Updated
Apr 14, 2025

Practice Location

Address
1595 WELD RD STE 9
City
Elgin
ZIP Code
60123-5896
Phone
(847) 707-2689

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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