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Individual
KATHY J DE VRIES
Active
Individual
KATHY J DE VRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.C.P.C.
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.007790
IL
Other
Enumeration date
09/10/2008
Last updated
12/04/2015
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