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Individual
DENISE STYX
Active
Individual
DENISE STYX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DT
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09932114
BLUE CROSS BLUE SHIELD
IL
Enumeration date
04/02/2007
Last updated
04/15/2008
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