Individual
AILEEN B KOKASKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 SANTA FE LN, WILLOW SPRINGS, IL 60480-1199
(708) 571-6745
Mailing address
100 SANTA FE LN, WILLOW SPRINGS, IL 60480-1199
(708) 571-6745
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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