Individual
MS. CORITA NADINE CRUMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1032 N OAKLEY LN APT 108, WESTMONT, IL 60559-6110
(773) 573-8587
Mailing address
1032 N OAKLEY LN APT 108, WESTMONT, IL 60559-6110
(773) 573-8587
(630) 568-5586
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
999999
CHILD CARE SCHOOL FOR CHILDREN WITH AUTISM
CA
Enumeration date
04/19/2017
Last updated
04/19/2017
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