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1821643701
KATHLEEN FAVIA
CHICAGO, IL
NPI
1821643701
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 2415998)
Enumeration Date
2019-08-07
Last Update Date
2023-03-03
Business Address
KATHLEEN FAVIA
1409 W CARROLL AVE
CHICAGO, IL 60607-1105
Phone number: 312-733-0883
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Mailing Address
KATHLEEN FAVIA
2906 CENTRAL ST # 222
EVANSTON, IL 60201-1283
Phone number:
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