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1215077011
KRISTINE MAYNARD
LA GRANGE, IL
NPI
1215077011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149008276)
Enumeration Date
2007-02-08
Last Update Date
2020-02-03
Business Address
Ms. KRISTINE MAYNARD LCSW
1030 S. LA GRANGE RD STE #9
LA GRANGE, IL 60525
Phone number: 708-921-3639
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Mailing Address
Ms. KRISTINE MAYNARD LCSW
1030 S. LA GRANGE RD STE #9
LA GRANGE, IL 60525
Phone number: 708-921-3639
Copy
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