GLORY KOSMATKA

ANTIOCH, IL
NPI1114399219
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  180005858)
Enumeration Date2015-10-28
Last Update Date2015-10-28
Business Address
-- GLORY KOSMATKA
800 MAIN ST STE 5
ANTIOCH, IL 60002-1542
Phone number: 847-838-9904
Mailing Address
-- GLORY KOSMATKA
PO BOX 887
LAKE VILLA, IL 60046-0887
Phone number: 847-838-9904
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