Individual
KRISTY BASSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
5000 S 5TH AVE BLDG 2284N, HINES, IL 60141
(708) 202-4965
Mailing address
5000 S 5TH AVE BLDG 2284N, HINES, IL 60141-3030
(708) 202-4965
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.102184
IL
Other
Enumeration date
12/04/2017
Last updated
05/18/2018
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