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1629838701
KATHERINE JANE FORD
BRADLEY, IL
NPI
1629838701
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Former Name
KATHERINE JANE ONDERSMA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180008034)
Enumeration Date
2024-03-19
Last Update Date
2024-03-19
Business Address
KATHERINE JANE FORD LCPC
265 STEBBINGS CT STE 1
BRADLEY, IL 60915-1282
Phone number: 815-200-8653
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Mailing Address
KATHERINE JANE FORD LCPC
1018 S POPLAR AVE
KANKAKEE, IL 60901-5556
Phone number: 815-263-0679
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