PHOEBE KINZIE-LARSON

CHICAGO, IL
NPI1922486265
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
(Licence: IL  056010277)
Enumeration Date2015-05-06
Last Update Date2015-05-06
Business Address
-- PHOEBE KINZIE-LARSON
4848 N SHERIDAN RD 506
CHICAGO, IL 60640-6931
Phone number: 773-595-5640
Mailing Address
-- PHOEBE KINZIE-LARSON
4848 N SHERIDAN RD 506
CHICAGO, IL 60640-6931
Phone number:
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