Individual
KRISTIN GORNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA DT
Contact information
Practice address
715 W ARMITAGE AVE # 2, CHICAGO, IL 60614-4409
(773) 458-0951
Mailing address
715 W ARMITAGE AVE # 2, CHICAGO, IL 60614-4409
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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