Individual
JULISA AGUIRRE VILLAGOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
742 ESSINGTON RD, JOLIET, IL 60435-4912
(815) 220-5632
Mailing address
219 PARK DR, JOLIET, IL 60436-1413
(815) 614-8000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-218009
IL
Other
Enumeration date
06/01/2022
Last updated
07/27/2022
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