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Individual

SONNIE COUSINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
333 N MICHIGAN AVE STE 1400, CHICAGO, IL 60601-4011
(312) 815-9660
Mailing address
PO BOX 285, SOUTH HOLLAND, IL 60473-0285

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
08/11/2023
Last updated
08/11/2023
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