Provider Information for 1902601123
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Ms. KERRY REBECCA HURT LMFT
Sex: Female
NPI: 1902601123
Last Updated: 2025-02-13
Certification Date: 2025-02-13
Certification Date: 2025-02-13
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1902601123 | ||||||||
| Enumeration Date | 2025-02-13 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 7400 N HARLEM AVE APT 2W CHICAGO, IL 60631-4403 United States Phone: 312-852-0093 | Fax: | ||||||||
| Primary Practice Address | 7400 N HARLEM AVE CHICAGO, IL 60631-4403 United States Phone: 312-852-0093 | Fax: | ||||||||
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