Individual
DENISE DINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1515 W EXCHANGE ST, CRETE, IL 60417-9601
(708) 367-8274
Mailing address
1515 W EXCHANGE ST, CRETE, IL 60417-9601
(708) 367-8274
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
506272
IL
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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