| Kathy Kwiat Lcsw Pc | |
|
5906 Elaine Dr Rockford IL 61108-2467 | |
| (815) 398-4880 | |
| (815) 398-4896 |
| Full Name | Kathy Kwiat Lcsw Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5906 Elaine Dr, Rockford, Illinois |
| Authorized Official Name and Position | Peter Smith (CREDENTIALING AGENT) |
| Authorized Official Contact | 8159658505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathy Kwiat Lcsw Pc 5906 Elaine Dr Rockford IL 61108-2467 Ph: (815) 398-4880 | Kathy Kwiat Lcsw Pc 5906 Elaine Dr Rockford IL 61108-2467 Ph: (815) 398-4880 |
| NPI Number | 1285800581 |
|---|---|
| Provider Enumeration Date | 05/06/2008 |
| Last Update Date | 05/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285800581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149001649 (Illinois) | Primary |
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