Individual
GERALD BOWEN KINCAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
1297 DURHAM LN, LEMONT, IL 60439-8934
(630) 247-3032
Mailing address
1297 DURHAM LN, LEMONT, IL 60439-8934
(630) 247-3032
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.109773
IL
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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