Kevin Commodore, MSW, LSW

NPI #1194439844 in Crete, Illinois

Provider Information

NPI Number: 1194439844
Entity Type: Individual
Name: Kevin Commodore, MSW, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: MSW, LSW
Enumeration Date: Jan 9, 2023
Last Updated: Jan 9, 2023

Practice Location

Address: 534 1ST ST STE A
City: Crete
State: Illinois
ZIP Code: 60417-2153
Phone: (708) 880-7747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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