Individual
MS. TIMBERLY YOUNGBLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
536 E 88TH PL, CHICAGO, IL 60619-6826
(312) 399-5319
Mailing address
536 E 88TH PL, CHICAGO, IL 60619
(312) 399-5319
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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