Individual
KIRSTY WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4128 GUNDERSON AVE, STICKNEY, IL 60402-4423
(630) 926-6719
Mailing address
4128 GUNDERSON AVE, STICKNEY, IL 60402-4423
(630) 926-6719
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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