Individual
CRYSTOL MARIE DEJOHNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 S INDIANA AVE STE 2NE, CHICAGO, IL 60605-2857
(773) 377-5577
Mailing address
830 S AUSTIN BLVD APT 3J, OAK PARK, IL 60304-2332
(773) 759-8190
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.108142
IL
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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