Individual
LETICIA SOUZA CARDOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6227 N WASHTENAW AVE, CHICAGO, IL 60659-2617
(847) 347-6732
Mailing address
6227 N WASHTENAW AVE, CHICAGO, IL 60659-2617
(847) 347-6732
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/31/2009
Last updated
10/16/2010
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