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CASSANDRA LEA COLUCY KRCMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3732 GRAND BLVD, BROOKFIELD, IL 60513-1624
(708) 354-4547
(708) 354-4547
Mailing address
9021 OGDEN AVE, BROOKFIELD, IL 60513-2040
(708) 354-4547

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.013475
IL

Other

Enumeration date
11/21/2017
Last updated
11/21/2017
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