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1093098477
KIMBERLY NICCOLE PRUGH
SKOKIE, IL
NPI
1093098477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: IL 166.000945)
Enumeration Date
2011-09-22
Last Update Date
2014-01-27
Business Address
-- KIMBERLY NICCOLE PRUGH LMFT
5225 OLD ORCHARD RD SUITE 37
SKOKIE, IL 60077-4405
Phone number: 773-474-9082
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Mailing Address
-- KIMBERLY NICCOLE PRUGH LMFT
1961 W SUMMERDALE AVE 2
CHICAGO, IL 60640-1040
Phone number: 773-474-9082
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