Individual
MS. MARISSA PATRICIA SLATTERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10201 S CICERO AVE STE F, OAK LAWN, IL 60453-4098
(708) 232-8763
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-34017
IL
Other
Enumeration date
09/26/2018
Last updated
08/05/2024
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