Individual
MELISSA SMALL BAKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6227 S WOODS CT, YORKVILLE, IL 60560-9852
(630) 842-7988
Mailing address
6227 S WOODS CT, YORKVILLE, IL 60560-9852
(630) 842-7988
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
06/05/2022
Last updated
06/05/2022
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