Individual
MRS. INGRID MARIE KWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
6918 WINDSOR AVE, BERWYN, IL 60402
(708) 795-4800
Mailing address
916 SOUTH ASHLAND AVE, LAGRANGE, IL 60525
(705) 482-0386
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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