Individual
DANIELLE KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10046 S WESTERN AVE, CHICAGO, IL 60643-1926
(773) 414-7096
Mailing address
10046 S WESTERN AVE, CHICAGO, IL 60643-1926
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178009527
IL
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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