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Individual

JOANN HERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
453 COVENTRY LN STE 103, CRYSTAL LAKE, IL 60014
(224) 829-0404
Mailing address
453 COVENTRY LN STE 103, CRYSTAL LAKE, IL 60014-7504
(224) 829-0404

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180003647
IL

Other

Enumeration date
03/23/2007
Last updated
05/29/2024
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