Individual
KAREN BOULDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136-142 1/2 SOUTH CLINTON, BRADLEY, IL 60915
(708) 939-2313
Mailing address
17746 OAK PARK AVE, TINLEY PARK, IL 60477-3936
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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