Individual
LOREE KINSELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3317 W 95TH ST STE 101, EVERGREEN PARK, IL 60805-2243
(708) 529-3011
Mailing address
9347 S RICHMOND AVE, EVERGREEN PARK, IL 60805-2423
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.103717
IL
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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