Individual
KAYLA BLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1270 BAMBURG CT, HANOVER PARK, IL 60133-5257
(708) 695-4808
Mailing address
2503 BOXWOOD LN, PLAINFIELD, IL 60586-2556
(847) 971-9474
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150015730
IL
Other
Enumeration date
01/30/2022
Last updated
01/30/2022
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