Individual
CARLA ELENA ARDON I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 BURTON ST, WAUKEGAN, IL 60085-3512
(224) 365-9666
Mailing address
302 BURTON ST, WAUKEGAN, IL 60085-3512
(224) 365-9666
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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