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1538919204
KATHLEEN GREEN
CHICAGO, IL
NPI
1538919204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 149.026894)
Enumeration Date
2024-03-25
Last Update Date
2024-03-25
Business Address
KATHLEEN GREEN LCSW
1345 W FARGO AVE APT 1W
CHICAGO, IL 60626-1839
Phone number: 312-761-9513
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Mailing Address
KATHLEEN GREEN LCSW
2501 CHATHAM RD STE N
SPRINGFIELD, IL 62704-4188
Phone number:
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