Individual
COLLEEN MANUEL KEMPNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, MA, LSW
Contact information
Practice address
2525 W FARRAGUT AVE, 2W, CHICAGO, IL 60625-2442
(952) 564-4304
Mailing address
2525 W FARRAGUT AVE, 2W, CHICAGO, IL 60625-2442
(952) 564-4304
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.015780
IL
1041C0700X
Clinical Social Worker
149.019124
IL
Other
Enumeration date
07/07/2016
Last updated
04/26/2017
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