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Individual

MISS CHEVON TOWNSEND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3709 TAMARIND LN, HAZEL CREST, IL 60429-1526
(708) 228-9709
(708) 335-4169
Mailing address
3709 TAMARIND LN, HAZEL CREST, IL 60429-1526
(708) 228-9709
(708) 335-4169

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
03/03/2009
Last updated
03/03/2009
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