Individual
ANNE KIRSTI DECORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1165 N CLARK ST STE 411, CHICAGO, IL 60610-7473
(312) 725-4260
Mailing address
1620 N ORCHARD ST, CHICAGO, IL 60614-5114
(203) 915-8451
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.001608
IL
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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