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Individual
MRS. SANDRA J KENDRICK
Active
Individual
MRS. SANDRA J KENDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-001950
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192541
COMPSYCH
IL
01
—
742264000
AETNA
IL
Enumeration date
02/08/2007
Last updated
10/15/2010
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