DENISE MICHELLE MANGRUM

PARK FOREST, IL
NPI1164142212
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2022-08-30
Last Update Date2022-08-30
Business Address
DENISE MICHELLE MANGRUM DT
252 RICH RD
PARK FOREST, IL 60466-1630
Phone number: 773-971-2230
Mailing Address
DENISE MICHELLE MANGRUM DT
252 RICH RD
PARK FOREST, IL 60466-1630
Phone number: 773-971-2230