Individual
MONICA KANNENWISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3033 OGDEN AVE, SUITE 210, LISLE, IL 60532-1673
(815) 577-3666
(630) 983-0162
Mailing address
3033 OGDEN AVE, SUITE 210, LISLE, IL 60532-1673
(815) 577-3666
(630) 983-0162
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
208.000226
IL
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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