Individual
KERRY SIVERTSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 E HURON ST, UNIT 1106, CHICAGO, IL 60611-2766
(847) 997-7157
Mailing address
541 CRESS CREEK CT, CRYSTAL LAKE, IL 60014-7055
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
103K00000X
—
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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