Individual
GRACE ANTIONETTE HOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACC, LCPC
Contact information
Practice address
15309 DORCHESTER AVE, DOLTON, IL 60419-3127
(708) 769-2683
Mailing address
15309 DORCHESTER AVE, DOLTON, IL 60419-3127
(708) 769-2683
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180013035
IL
Other
Enumeration date
05/16/2019
Last updated
04/10/2023
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