Individual
AUDRA MARIE ROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11740 S WESTERN AVE, CHICAGO, IL 60643-4732
(312) 241-3761
(773) 881-3379
Mailing address
11740 S WESTERN AVE, CHICAGO, IL 60643-4732
(312) 241-3761
(773) 840-4844
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180010894
IL
101YP2500X
Professional Counselor
Primary
180010984
IL
Other
Enumeration date
12/02/2017
Last updated
09/07/2024
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