Individual
CYNTHIA DANIELLE CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
5910 W DIVISION ST, CHICAGO, IL 60651-1031
(773) 777-7112
Mailing address
5910 W DIVISION ST, CHICAGO, IL 60651-1031
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C620-1049-3645
IL
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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