Katherine Anne Formentini

NPI #1861048993 in New Lenox, Illinois

Provider Information

NPI Number
1861048993
Entity Type
Individual
Name
Katherine Anne Formentini
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Enumeration Date
Aug 14, 2019
Last Updated
Aug 14, 2019

Practice Location

Address
1414 EAGLE VISTA DR
ZIP Code
60451-2315
Phone
(815) 931-2060

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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