MICHAEL PATRICK KAHWAJI

BLOOMINGTON, IL
NPI1679509806
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: IL  071-005708)
Enumeration Date2006-06-22
Last Update Date2007-07-08
Business Address
Dr. MICHAEL PATRICK KAHWAJI PSYD
2502 B EAST EMPIRE
BLOOMINGTON, IL 61704
Phone number: 309-663-7220
Mailing Address
Dr. MICHAEL PATRICK KAHWAJI PSYD
PO BOX 604
BLOOMINGTON, IL 61702-0604
Phone number: 309-663-7220
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