Individual
CAMMILA MANOUSELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18100 W OAK AVE, LOCKPORT, IL 60441-6125
(815) 774-0327
Mailing address
18100 W OAK AVE, LOCKPORT, IL 60441-6125
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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