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Individual

KENNETH BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
407 STANTON ST, PARK FOREST, IL 60466-1042
(708) 745-1725
Mailing address
407 STANTON ST, PARK FOREST, IL 60466-1042
(708) 745-1725

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/06/2023
Last updated
06/06/2023
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