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1396391389
KIMBERLY VILLALTA
EVANSTON, IL
NPI
1396391389
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-08-14
Last Update Date
2019-08-14
Business Address
KIMBERLY VILLALTA
2100 RIDGE AVE # G320
EVANSTON, IL 60201-2716
Phone number: 847-866-2977
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Mailing Address
KIMBERLY VILLALTA
2100 RIDGE AVE # G320
EVANSTON, IL 60201-2716
Phone number:
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