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Individual

LATIFAT CABIROU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
2622 W CERMAK RD, CHICAGO, IL 60608-6172
(312) 953-4924
Mailing address
883 COMMONWEALTH AVE SE, ATLANTA, GA 30312-3663
(773) 679-9555

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178011105
IL
103TC0700X
Clinical Psychologist
Primary
071010777
IL

Other

Enumeration date
08/25/2015
Last updated
06/22/2022
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