Individual
SHARRON ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1638 S 51ST AVE, CICERO, IL 60804-1997
(773) 956-9947
Mailing address
1638 S 51ST AVE, CICERO, IL 60804-1997
(773) 956-9947
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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