Individual
DOROTHY JEAN GRIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3405 AVONDALE LN, NEW LENOX, IL 60451-8610
(815) 463-9364
Mailing address
3405 AVONDALE LN, NEW LENOX, IL 60451-8610
(815) 463-9364
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
DG28560401P
IL
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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