Individual
KATRINA DELANE MERRITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6020 S STONY ISLAND AVE APT 2W, CHICAGO, IL 60637-3050
(312) 647-7621
Mailing address
6020 S STONY ISLAND AVE APT 2W, CHICAGO, IL 60637-3050
(312) 647-7621
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/02/2017
Last updated
07/21/2022
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