KEITT STATHEM

CHICAGO, IL
NPI1972881811
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-07-26
Last Update Date2011-07-26
Business Address
-- KEITT STATHEM
2459 N CLARK ST #3
CHICAGO, IL 60614-2717
Phone number: 314-910-8915
Mailing Address
-- KEITT STATHEM
2459 N CLARK ST #3
CHICAGO, IL 60614-2717
Phone number:
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