Individual
JAMIE MARASCO GEBHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6430 N CENTRAL AVE, CHICAGO, IL 60646-2925
(312) 806-7937
Mailing address
830 N MILWAUKEE AVE APT 406, CHICAGO, IL 60642-4299
(414) 801-1255
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-378357
IL
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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