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Organization

TUESDAY'S CHILD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARGARET MARY KINCAID PHD (STAFF PSYCHOLOGIST)
(773) 423-5055
Entity
Organization

Contact information

Practice address
3633 N CALIFORNIA AVE, CHICAGO, IL 60618
(773) 423-5055
(773) 423-5054
Mailing address
3633 N CALIFORNIA AVE, CHICAGO, IL 60618
(773) 423-5055
(773) 423-5054

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
IL
106H00000X
Marriage & Family Therapist
225X00000X
Occupational Therapist
IL
235Z00000X
Speech-Language Pathologist
IL
251S00000X
Community/Behavioral Health Agency
Primary
#071.008129
IL

Other

Enumeration date
09/25/2007
Last updated
10/24/2012
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