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Individual

DR. DAWN MARIE KUSINSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
19235 WOLF RD STE 140, MOKENA, IL 60448-2062
(815) 333-4032
Mailing address
19235 WOLF RD STE 140, MOKENA, IL 60448-2062
(815) 333-4032

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180010105
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
47-2918608
PRIVATE PRACTICE OFFICE
IL
Enumeration date
10/23/2013
Last updated
07/01/2020
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