Individual
ABBY KWAYZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 W DAYTON ST, MCHENRY, IL 60050-8377
(815) 338-7360
Mailing address
4001 W DAYTON ST, MCHENRY, IL 60050-8377
(815) 338-7360
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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