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Individual

CRYSTAL CLEGGETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10540 S WESTERN AVE STE 313, CHICAGO, IL 60643-2529
(312) 566-8596
(773) 275-3880
Mailing address
840 W IRVING PARK RD STE 302, CHICAGO, IL 60613-3011
(773) 659-9207

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150012035
IL

Other

Enumeration date
08/10/2021
Last updated
08/10/2021
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