KEN MIYAKE

PLAINFIELD, IL
NPI1841935673
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  178.011796)
Enumeration Date2022-05-05
Last Update Date2022-05-05
Business Address
KEN MIYAKE
14034 S OAKDALE CIR
PLAINFIELD, IL 60544-7062
Phone number: 815-407-0838
Mailing Address
KEN MIYAKE
14034 S OAKDALE CIR
PLAINFIELD, IL 60544-7062
Phone number:
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