Individual
SAMANTHA C KURKJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CP
Contact information
Practice address
111 DEAN ST, WOODSTOCK, IL 60098-3220
(847) 802-4058
(815) 344-5072
Mailing address
176 WILLEY ST, GILBERTS, IL 60136-8000
(630) 251-3690
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.010110
IL
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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