Individual
KANESHA WALKER AMARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5910 W DIVISION, CHICAGO, IL 60651
(773) 777-7112
Mailing address
481 N ARDMORE AVE, APT 2F, VILLA PARK, IL 60181
(773) 623-9208
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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