Individual
KATHRYN CLANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6415 STANLEY AVE, BERWYN, IL 60402-3130
(708) 745-5277
(708) 788-8535
Mailing address
6415 STANLEY AVE, BERWYN, IL 60402-3130
(708) 745-5277
(708) 788-8535
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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