Individual
SHANNEL CRUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 1094, MATTESON, IL 60443-4094
(773) 749-9233
Mailing address
PO BOX 1094, MATTESON, IL 60443-4094
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150117960
IL
1041S0200X
School Social Worker
Primary
150117960
IL
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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