SERENA ANNE FROST

DEKALB, IL
NPI1336586056
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL  30910)
Enumeration Date2013-06-04
Last Update Date2013-06-04
Business Address
-- SERENA ANNE FROST CADC
12 HEALTH SERVICES DR
DEKALB, IL 60115-9637
Phone number: 815-756-4875
Mailing Address
-- SERENA ANNE FROST CADC
12 HEALTH SERVICES DR
DEKALB, IL 60115-9637
Phone number: 815-756-4875
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