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1598537284
KATHARINE KUBALL WAGNER
CHICAGO, IL
NPI
1598537284
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.013121)
Enumeration Date
2023-10-25
Last Update Date
2023-10-25
Business Address
Mrs. KATHARINE KUBALL WAGNER LCSW
5017 W BERTEAU AVE
CHICAGO, IL 60641-1738
Phone number: 630-865-1352
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Mailing Address
Mrs. KATHARINE KUBALL WAGNER LCSW
145 N CLINTON AVE
ELMHURST, IL 60126-2906
Phone number: 773-680-1775
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