Individual
MRS. KIM LYNN SEGVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 GREEN ST, NEW LENOX, IL 60451-1017
(815) 462-0191
Mailing address
PO BOX 1549, CALUMET CITY, IL 60409-7549
(708) 251-5222
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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