Individual
KESHA D AINSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, CADC
Contact information
Practice address
1120 E MAIN ST STE 201, ST CHARLES, IL 60174-2287
(630) 377-6613
(630) 377-6225
Mailing address
1120 E MAIN ST STE 201, ST CHARLES, IL 60174-2287
(630) 377-6613
(630) 377-6225
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150106390
IL
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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