Individual
KRISTEN KWASNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4918 FOREST CT, OAK FOREST, IL 60452-4506
(708) 601-0523
Mailing address
4918 FOREST CT, OAK FOREST, IL 60452-4506
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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