Individual
MR. KAMAL KHAMIS SUMREIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW, MSW
Contact information
Practice address
9405 WILLOW LN, MOKENA, IL 60448-9322
(908) 487-1635
Mailing address
9405 WILLOW LN, MOKENA, IL 60448-9322
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150110956
IL
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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