KENNETH J STALL

LIBERTYVILLE, IL
NPI1245344837
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149-000078)
Enumeration Date2006-08-19
Last Update Date2007-07-08
Business Address
Mr. KENNETH J STALL LCSW
1117 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048-3798
Phone number: 847-367-6900
Mailing Address
Mr. KENNETH J STALL LCSW
708 FOSTER AVE
LAKE BLUFF, IL 60044-1520
Phone number: 847-367-6900
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