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Individual

MRS. ALEXANDRA KANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., L.P.C

Contact information

Practice address
620 DAKOTA ST, CRYSTAL LAKE, IL 60012-3732
(815) 276-0557
Mailing address
620 DAKOTA ST, CRYSTAL LAKE, IL 60012-3732
(815) 276-0557

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.009790
IL
101YP2500X
Professional Counselor
Primary
180010506
IL

Other

Enumeration date
01/27/2015
Last updated
03/09/2017
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