Tracey Kim Snow | |
13728 W Carefree Dr Homer Glen IL 60491-8655 | |
(708) 837-3722 | |
Not Available |
Full Name | Tracey Kim Snow |
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Speciality | Counselor - Mental Health |
Location | 13728 W Carefree Dr, Homer Glen, Illinois |
Authorized Official Name and Position | Tracey Kim Snow (OWNER, COUNSELOR) |
Authorized Official Contact | 7088373722 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tracey Kim Snow 13728 W Carefree Dr Homer Glen IL 60491-8655 Ph: (708) 837-3722 | Tracey Kim Snow 13728 W Carefree Dr Homer Glen IL 60491-8655 Ph: (708) 837-3722 |
NPI Number | 1285036343 |
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Provider Enumeration Date | 09/20/2014 |
Last Update Date | 09/20/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285036343 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 180-006920 (Illinois) | Primary |
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