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1063603637
KRISTEN MARIE KINGERY
DIXON, IL
NPI
1063603637
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: IL 041353960)
Enumeration Date
2007-08-07
Last Update Date
2011-06-07
Business Address
KRISTEN MARIE KINGERY
325 IL ROUTE 2
DIXON, IL 61021-9118
Phone number: 815-284-8726
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Mailing Address
KRISTEN MARIE KINGERY
15761 E BIG MOUND RD
LINDENWOOD, IL 61049-9705
Phone number:
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