Individual
ANN KEARNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
800 E SOUTH ST, WOODSTOCK, IL 60098-4247
(815) 337-7109
Mailing address
311 W CRYSTAL LAKE AVE, CRYSTAL LAKE, IL 60014-5805
(815) 444-0671
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149014812
IL
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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