Individual
AMY MANZOLILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2755 N PINE GROVE AVE, CHICAGO, IL 60614-6109
(312) 259-2665
Mailing address
2755 N PINE GROVE AVE, CHICAGO, IL 60614-6109
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
08/30/2023
Last updated
09/01/2023
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