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Individual

DEBORAH E SYLVESTRAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
15040 WABASH AVE, SOUTH HOLLAND, IL 60473-1065
(708) 721-4476
Mailing address
15040 WABASH AVE, SOUTH HOLLAND, IL 60473-1065
(708) 721-4476

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.003662
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
180.003662
LCPC
IL
Enumeration date
10/25/2021
Last updated
10/25/2021
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