Individual
SHELLIE LYNN WILLET-KRUCHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
24W788 75TH ST, NAPERVILLE, IL 60565
(630) 778-1055
Mailing address
24W788 75TH ST, NAPERVILLE, IL 60565-1684
(630) 778-1055
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071005578
IL
Other
Enumeration date
10/05/2006
Last updated
06/15/2018
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