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1609905009
KENNETH R. GATES
CRYSTAL LAKE, IL
NPI
1609905009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180-000912)
Enumeration Date
2007-03-04
Last Update Date
2007-07-08
Business Address
Mr. KENNETH R. GATES M.A.
8600 US HIGHWAY 14 SUITE 110
CRYSTAL LAKE, IL 60012-2706
Phone number: 815-444-9210
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Mailing Address
Mr. KENNETH R. GATES M.A.
8600 US HIGHWAY 14 SUITE 110
CRYSTAL LAKE, IL 60012-2706
Phone number: 815-444-9210
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