Individual
JENNIFER CRACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 E MAZON AVE, DWIGHT, IL 60420-1104
(815) 584-1240
Mailing address
214 E WALNUT ST, HERSCHER, IL 60941-9545
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146-008488
IL
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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