Individual
MRS. SUSAN H KOVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
350 LEE RD, NORTHBROOK, IL 60062
(847) 562-2100
(847) 562-2112
Mailing address
350 LEE ROAD, NORTHBROOK, IL 60062
(847) 562-2100
(847) 562-2112
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
1490006115
IL
Other
Enumeration date
12/07/2007
Last updated
12/07/2007
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