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Individual

KLARYSSA YOLANDA CORNEJO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13550 S ROUTE 30 STE 204E, PLAINFIELD, IL 60544-5688
(815) 308-2322
Mailing address
13550 S ROUTE 30 STE 204E, PLAINFIELD, IL 60544-5688
(815) 308-2322
(844) 991-3532

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
12/15/2023
Last updated
03/05/2024
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