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Organization
KOOTH USA LLC
Active
Organization
KOOTH USA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ROMO (FINANCIAL CONTROLLER)
(570) 209-8416
Entity
Organization
Contact information
Practice address
167 N GREEN ST FL 4, CHICAGO, IL 60607-2377
(570) 209-8416
Mailing address
167 N GREEN ST FL 4, CHICAGO, IL 60607-2377
(570) 209-8416
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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