Individual
FANAI CROFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5113 S HARPER AVE # 2C, CHICAGO, IL 60615-4119
(312) 380-1580
Mailing address
1310 E 54TH ST APT 3, CHICAGO, IL 60615-5594
(773) 558-3232
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
09/12/2021
Last updated
09/12/2021
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