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Individual

MARYANN J. SCARBOROUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DT

Contact information

Practice address
16835 GLEN OAKS DR, COUNTRY CLUB HILLS, IL 60478-2147
(312) 505-7349
Mailing address
16835 GLEN OAKS DR, COUNTRY CLUB HILLS, IL 60478-2147
(312) 505-7349

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
S616-5505-8708
IL

Other

Enumeration date
04/24/2008
Last updated
04/24/2008
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