MRS. Ingrid Marie Kwak, LCPC

NPI #1447310065 in Berwyn, Illinois

Provider Information

NPI Number: 1447310065
Entity Type: Individual
Name: MRS. Ingrid Marie Kwak, LCPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LCPC
Enumeration Date: Dec 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 6918 WINDSOR AVE
City: Berwyn
State: Illinois
ZIP Code: 60402
Phone: (708) 795-4800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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