Individual
MICHELLE CLYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
352 N GRACE ST, LOMBARD, IL 60148-1853
(630) 932-0730
(630) 932-0730
Mailing address
352 N. GRACE STREET, LOMBARD, IL 60148-1853
(630) 932-0730
(630) 932-0730
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/11/2007
Last updated
07/09/2007
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