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Individual

ALEXANDRA DIVITO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
111 S GRANT ST, HINSDALE, IL 60521-4050
(630) 563-0044
Mailing address
417 HIAWATHA TRL, WOOD DALE, IL 60191-2408

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
10/27/2017
Last updated
10/27/2017
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