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KATHLEEN M. KOSTOCK LCSW

Clinical Neuropsychologist

Beach Park, Illinois

Provider NPI: 1598784431

Provider Information:
 KATHLEEN M. KOSTOCK LCSW
Gender: F
Sole Proprietor


Practice Location:
37512 N NORTH AVE  BEACH PARK, IL 60087 US
Tel: 312-590-8801  Fax: --

Business Mailing Address:
37512 N NORTH AVE  BEACH PARK, IL 60087 US
Tel: 312-590-8801  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
IL149001172









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