Individual
MS. MICHELLE A SUDBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 N ORCHARD DR, PARK FOREST, IL 60466-1141
(708) 574-2115
Mailing address
302 N ORCHARD DR, PARK FOREST, IL 60466-1141
(708) 574-2115
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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