Individual
MRS. STORM MARIA KLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S
Contact information
Practice address
420 N RAYNOR AVE, JOLIET, IL 60435-6065
(815) 740-3196
Mailing address
420 N RAYNOR AVE, JOLIET, IL 60435-6065
(815) 740-3196
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1109212
IL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/15/2017
Last updated
04/23/2019
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