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1275030199
SAMANTHA KELSEY AGINS
FOREST PARK, IL
NPI
1275030199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 178.013428)
Enumeration Date
2018-04-08
Last Update Date
2021-02-25
Business Address
Ms. SAMANTHA KELSEY AGINS M.A., LCPC
152 ELGIN AVE
FOREST PARK, IL 60130
Phone number: 224-639-7776
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Mailing Address
Ms. SAMANTHA KELSEY AGINS M.A., LCPC
417 DES PLAINES AVE UNIT 641
FOREST PARK, IL 60130-4433
Phone number: 224-639-7776
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