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Individual

AUDRA ELIZABETH KURTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
4054 N LINCOLN AVE # 2, CHICAGO, IL 60618-3038
(309) 287-7216
Mailing address
2737 W AINSLIE ST UNIT 1, CHICAGO, IL 60625-2715
(309) 287-7216

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180008636
IL
1041C0700X
Clinical Social Worker
180.008636
IL

Other

Enumeration date
05/10/2013
Last updated
08/14/2019
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