Individual
KARIN STEFANIE BETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRC
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(224) 610-3590
Mailing address
1128 JOHNSON DR APT 3523, BUFFALO GROVE, IL 60089-6511
(608) 217-7309
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3625-125
WI
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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