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Individual
MR. KEVIN ALLEN NEWHALL
Active
Individual
MR. KEVIN ALLEN NEWHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
149.018631
IL
104100000X
Social Worker
150.015028
IL
Other
Enumeration date
01/25/2016
Last updated
07/26/2016
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