Individual
CRYSTAL M. DENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, M. ED, SE, ECSE
Contact information
Practice address
PO BOX 1233, MATTESON, IL 60443-4233
(773) 426-7200
Mailing address
PO BOX 1233, MATTESON, IL 60443-4233
(708) 320-1815
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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