Most Relevant Information
Provider Data
| NPI Number: | 1003432345 |
| Provider Name: | KATHRYN P BACH LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 149022179 |
Most Important Dates
| Enumeration Date: | 06/23/2020 |
| Last Updated: | 06/23/2020 |
Provider Practice Location
1608 CAVALIER CT
WHEATON
IL
601893106
Practice Location Phone/Fax
| Phone: | 6305616070 |
| Fax: |
Provider Mailing Location
1608 CAVALIER CT
WHEATON
IL
601893106
Provider Mailing Phone/Fax
| Phone: | 6305616070 |
| Fax: |