Individual
KRISTIE LYNN SHARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
2132 DEEP WATER LN, SUITE 240, NAPERVILLE, IL 60564-8498
(630) 217-9911
(630) 596-8636
Mailing address
3103 EUGENE LN, AURORA, IL 60504-7281
(847) 372-6406
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150102039
IL
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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