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Individual

YAZMIN E CINTRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2651 W WASHINGTON BLVD, CHICAGO, IL 60612-2055
(773) 553-1800
Mailing address
2651 W WASHINGTON BLVD, CHICAGO, IL 60612-2055

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2018493
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2018493
ILLINOIS STATE BOARD OF EDUCATION
IL
Enumeration date
11/01/2017
Last updated
11/01/2017
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