Most Relevant Information
Provider Data
| NPI Number: | 1003288283 |
| Provider Name: | KIMBERLY STEPHENS B.S.W., M.A.ED |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/27/2015 |
| Last Updated: | 10/27/2015 |
Provider Practice Location
1023 BURLINGTON AVE
WESTERN SPRINGS
IL
605581516
Practice Location Phone/Fax
| Phone: | 7089953771 |
| Fax: | 7089953769 |
Provider Mailing Location
1023 BURLINGTON AVE
WESTERN SPRINGS
IL
605581516
Provider Mailing Phone/Fax
| Phone: | 7089953771 |
| Fax: | 7089953769 |