Individual
MS. MARCIA KAY NEWSOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
3528 W 73RD ST, CHICAGO, IL 60629-4306
(773) 912-4199
Mailing address
3528 W 73RD ST, CHICAGO, IL 60629-4306
(773) 912-4199
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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