Individual
CASSANDRA NEWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2447 W 175TH ST, HOMEWOOD, IL 60430
(480) 593-8742
Mailing address
2447 175TH ST, HOMEWOOD, IL 60430-1077
(480) 593-8742
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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