Individual
IFETAYO KITWANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1706 E 84TH PL, CHICAGO, IL 60617-2201
(773) 936-3498
Mailing address
1507 E 53RD ST # 813, CHICAGO, IL 60615-4573
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.011630
IL
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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