Individual
MRS. KATHRYN LESLEY DITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.M.F.T
Contact information
Practice address
226 STATE ST, ST CHARLES, IL 60174-1864
(630) 587-3777
Mailing address
425 S 6TH ST, ST CHARLES, IL 60174-2714
(630) 584-6015
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166000795
IL
Other
Enumeration date
01/05/2011
Last updated
02/07/2013
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