KEVIN M STANFORD

LAKE ZURICH, IL
NPI1508190042
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149018552)
Enumeration Date2009-10-01
Last Update Date2021-09-01
Business Address
KEVIN M STANFORD MSW, LCSW
25 TELSER RD UNIT 743
LAKE ZURICH, IL 60047-3633
Phone number: 773-644-1522
Mailing Address
KEVIN M STANFORD MSW, LCSW
25 TELSER RD UNIT 743
LAKE ZURICH, IL 60047-3633
Phone number:
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