Individual
CARLA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10905 S MORGAN ST, CHICAGO, IL 60643-3827
(773) 941-3070
Mailing address
10905 S MORGAN ST, CHICAGO, IL 60643-3827
(773) 941-3070
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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