Individual
MS. DONNA J KILGALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
10800 CENTRAL AVE, CHICAGO RIDGE, IL 60415-2304
(708) 707-0172
Mailing address
10800 CENTRAL AVE, CHICAGO RIDGE, IL 60415-2304
(708) 707-0172
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180008210
IL
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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