Kyle Uphoff Wasowski, MA

NPI #1194099796 in Lombard, Illinois

Provider Information

NPI Number: 1194099796
Entity Type: Individual
Name: Kyle Uphoff Wasowski, MA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: MA
Enumeration Date: Feb 28, 2012
Last Updated: Feb 28, 2012

Practice Location

Address: 1111 E JACKSON ST
City: Lombard
State: Illinois
ZIP Code: 60148-3709
Phone: (630) 682-7400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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