Individual
MRS. CRISTY SACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED. M.
Contact information
Practice address
117 E CONRON AVE, DANVILLE, IL 61832-1803
(217) 799-0658
Mailing address
117 E CONRON AVE, DANVILLE, IL 61832-1803
(217) 799-0658
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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