Individual
MRS. KATHRYN MARY VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
10 W PHILLIP RD STE 108, VERNON HILLS, IL 60061-1730
(847) 275-4115
(847) 868-9222
Mailing address
10 W PHILLIP RD STE 108, VERNON HILLS, IL 60061-1730
(847) 275-4115
(847) 868-9222
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.014862
IL
222Q00000X
Developmental Therapist
—
IL
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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