Individual
DENISE HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 E 47TH ST, CHICAGO, IL 60653-4201
(312) 949-5582
(773) 538-5246
Mailing address
707 E 47TH ST, CHICAGO, IL 60653-4201
(312) 949-5582
(773) 538-5246
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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