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Individual

CYNTHIA BENNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3100 DUNDEE RD STE 101, NORTHBROOK, IL 60062-2462
(847) 919-9096
Mailing address
304 W COOK AVE, LIBERTYVILLE, IL 60048-1808
(312) 523-3117

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.011142
IL

Other

Enumeration date
08/08/2018
Last updated
08/08/2018
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