Individual
MRS. LYNN MARIE HETTERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1105 3RD ST, MCHENRY, IL 60050-5206
(815) 363-7579
(815) 363-7579
Mailing address
1105 3RD ST, MCHENRY, IL 60050-5206
(815) 363-7579
(815) 363-7579
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
LH22740605P
IL
Other
Enumeration date
04/08/2007
Last updated
07/08/2007
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