KIM HASTY

MARYVILLE, IL
NPI1780693515
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  180-001216)
Enumeration Date2006-08-08
Last Update Date2007-07-08
Business Address
-- KIM HASTY M.S., LCPC
20 PROFESSIONAL PARK DR # A
MARYVILLE, IL 62062-5669
Phone number: 618-288-8787
Mailing Address
-- KIM HASTY M.S., LCPC
20 PROFESSIONAL PARK DR # A
MARYVILLE, IL 62062-5669
Phone number: 618-288-8787
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