Individual
MR. KEVIN LEE VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2620 MELBOURNE LN, LAKE IN THE HILLS, IL 60156-6301
(224) 678-2676
Mailing address
2620 MELBOURNE LN, LAKE IN THE HILLS, IL 60156-6301
(224) 678-2676
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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