Individual
MRS. GLORIA JEAN ERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT 17-36284
Contact information
Practice address
7357 W 103RD ST, PALOS HILLS, IL 60465-2054
(708) 212-0008
Mailing address
7357 W 103RD ST, PALOS HILLS, IL 60465-2054
(708) 212-0008
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
17-36284
IL
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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