Individual
ANTOINETTE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17051 LOUIS AVE, SOUTH HOLLAND, IL 60473-3335
(708) 609-0124
Mailing address
17051 LOUIS AVE, SOUTH HOLLAND, IL 60473-3335
(708) 609-0124
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.006214
IL
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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