KENNETH TERRY BREITWISER

CHICAGO, IL
NPI1700869104
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149013342)
Enumeration Date2005-11-21
Last Update Date2010-05-24
Business Address
Mr. KENNETH TERRY BREITWISER LCSW
50 EAST WASHINGTON ST. JAMES CATHEDRAL COUNSELING CENTER
CHICAGO, IL 60602-2142
Phone number: 312-252-9500
Mailing Address
Mr. KENNETH TERRY BREITWISER LCSW
1453 W RASCHER AVE #1E
CHICAGO, IL 60640-1205
Phone number: 773-561-3493
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