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Individual

HEATHER RANDAZZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC, ATR-BC

Contact information

Practice address
1541 SUNCREST LN, BOLINGBROOK, IL 60490-3279
(708) 257-3863
Mailing address
1541 SUNCREST LN, BOLINGBROOK, IL 60490-3279

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-005054
IL
221700000X
Art Therapist

Other

Enumeration date
11/10/2006
Last updated
09/11/2015
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