Individual
KARYN LENISE AGUIRRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4553 S LAKE PARK AVE, CHICAGO, IL 60653-4535
(312) 720-1764
Mailing address
4553 S LAKE PARK AVE, CHICAGO, IL 60653-4535
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
149023045
IL
101Y00000X
Counselor
—
—
Other
Enumeration date
03/07/2021
Last updated
03/07/2021
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