KRISTEN DOME

CHICAGO, IL
NPI1912261330
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  178.007602)
Enumeration Date2012-06-29
Last Update Date2012-06-29
Business Address
-- KRISTEN DOME LPC
3756 W WINDSOR AVE
CHICAGO, IL 60625-5929
Phone number: 773-972-9953
Mailing Address
-- KRISTEN DOME LPC
3756 W WINDSOR AVE
CHICAGO, IL 60625-5929
Phone number: 773-972-9953
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