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Individual

MS. AGNIESZKA ALINA WYSOCKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4419 W NORTH AVE, MELROSE PARK, IL 60160-1021
(773) 777-7112
(708) 547-7732
Mailing address
2010 HASSELL RD, APT #201, HOFFMAN ESTATES, IL 60169-6340
(847) 922-2210

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180005556
IL

Other

Enumeration date
12/09/2015
Last updated
12/09/2015
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