Individual
DALE WILLIAM KLOOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3235 VOLLMER RD, SUITE 119, FLOSSMOOR, IL 60422-2013
(708) 754-8815
(708) 798-1315
Mailing address
3235 VOLLMER RD, SUITE 119, FLOSSMOOR, IL 60422-2013
(708) 754-8815
(708) 798-1315
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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