Individual
MRS. DEIDRE EVELL HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9027 S RICHMOND AVE, EVERGREEN PARK, IL 60805-1345
(773) 841-3888
Mailing address
9027 S RICHMOND AVE, EVERGREEN PARK, IL 60805-1345
(773) 841-3888
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.013143
IL
Other
Enumeration date
08/15/2022
Last updated
09/14/2022
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