Individual
NICOLE MARIE CIMOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4677 N VIRGINIA AVE, 1N, CHICAGO, IL 60625-2953
(708) 341-8222
Mailing address
2108 W BELLE PLAINE AVE, #1, CHICAGO, IL 60618-3026
(312) 315-1432
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/11/2013
Last updated
03/11/2013
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