Individual
MS. KATHRYN ROSE POORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
2008 DEMPSTER ST, EVANSTON, IL 60202-1017
(847) 425-9708
(847) 425-9728
Mailing address
2239 W CHARLESTON ST, CHICAGO, IL 60647-3208
(312) 343-9990
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
IL
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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