Individual
MS. MARY JOSEPHINE BIRCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC, DTS, CIMI
Contact information
Practice address
18W233 KNOLLWOOD LN, VILLA PARK, IL 60181-3634
(630) 953-2821
(630) 953-9831
Mailing address
18W233 KNOLLWOOD LN, VILLA PARK, IL 60181-3634
(630) 953-2821
(630) 953-9831
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
MB49860101P
IL
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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