Individual
MRS. GRACE S ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCSW
Contact information
Practice address
800 MAIN ST, SUITE 5, ANTIOCH, IL 60002-1542
(847) 838-9904
(847) 838-9907
Mailing address
PO BOX 887, SUITE 5, ANTIOCH, IL 60002-0887
(847) 838-9904
(847) 838-9907
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
149.009983
IL
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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