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Individual

ANASTASIA KOUMBIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
31979 N FISH LAKE RD, ROUND LAKE, IL 60073-9517
(847) 201-7066
Mailing address
31979 N FISH LAKE RD, ROUND LAKE, IL 60073-9517
(847) 546-6450
(847) 546-0484

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150102755
IL

Other

Enumeration date
08/22/2018
Last updated
08/22/2018
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