STACY DECRISTOFARO

CRYSTAL LAKE, IL
NPI1134451552
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2010-02-10
Last Update Date2010-02-10
Business Address
-- STACY DECRISTOFARO DT
1799 KINGS GATE LN
CRYSTAL LAKE, IL 60014-2906
Phone number: 815-276-7786
Mailing Address
-- STACY DECRISTOFARO DT
1799 KINGS GATE LN
CRYSTAL LAKE, IL 60014-2906
Phone number: 815-276-7786
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