Individual
MRS. SHARON LYNN KRGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.T.
Contact information
Practice address
10523 S HAMILTON AVE, CHICAGO, IL 60643-2513
(773) 620-2014
Mailing address
10523 S HAMILTON AVE, CHICAGO, IL 60643-2513
(773) 620-2014
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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