Individual
GISELLE AMOR SERRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 LAKE COOK RD STE 314, DEERFIELD, IL 60015-4933
(877) 486-4140
Mailing address
4643 S FRANCISCO AVE, CHICAGO, IL 60632-1912
(773) 865-4173
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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