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1245535269
KIMBERLY PATRICE SPIVEY
MATTESON, IL
NPI
1245535269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.013263)
Enumeration Date
2011-01-22
Last Update Date
2011-01-22
Business Address
Ms. KIMBERLY PATRICE SPIVEY LCSW
5113 MONROE ST
MATTESON, IL 60443-3072
Phone number: 708-747-1292
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Mailing Address
Ms. KIMBERLY PATRICE SPIVEY LCSW
5113 MONROE ST
MATTESON, IL 60443-3072
Phone number: 708-747-1292
Copy
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