Individual
DEIRDRE B. KOLDYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1750 N KINGSBURY ST, CHICAGO, IL 60614-4813
(312) 259-1302
Mailing address
1750 N KINGSBURY ST, CHICAGO, IL 60614-4813
(312) 259-1302
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.000722
IL
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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