Individual
HOLLY NICOLE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
6430 N CENTRAL AVE STE A, CHICAGO, IL 60646-2943
(312) 806-7937
(773) 930-3796
Mailing address
6430 N CENTRAL AVE STE A, CHICAGO, IL 60646-2943
(312) 806-7937
(773) 930-3796
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-35078
IL
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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