Anastasia Koumbis, LSW

NPI #1811478464 in Round Lake, Illinois

Provider Information

NPI Number: 1811478464
Entity Type: Individual
Name: Anastasia Koumbis, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Aug 22, 2018
Last Updated: Aug 22, 2018

Practice Location

Address: 31979 N FISH LAKE RD
City: Round Lake
State: Illinois
ZIP Code: 60073-9517
Phone: (847) 201-7066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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