Individual
DOROTHY KUKLINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
17577 KEDZIE AVE, HAZEL CREST, IL 60429-2051
(708) 250-0520
Mailing address
10985 S 84TH AVE, APT 2A, PALOS HILLS, IL 60465-3231
(708) 717-4461
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.012610
IL
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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