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1942698295
KATHLEEN TERESE QUACKENBUSH
CHICAGO, IL
NPI
1942698295
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Former Name
KATHLEEN TERESE BAUMERT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: IL B56351887866)
Enumeration Date
2015-01-08
Last Update Date
2015-01-08
Business Address
Mrs. KATHLEEN TERESE QUACKENBUSH
2014 W 22ND PL UNIT 1
CHICAGO, IL 60608-4114
Phone number: 630-429-6869
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Mailing Address
Mrs. KATHLEEN TERESE QUACKENBUSH
2014 W 22ND PL UNIT 1
CHICAGO, IL 60608-4114
Phone number: 630-429-6869
Copy
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