Individual
JAMIE KOVALCIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5304 GRAND AVE, WESTERN SPRINGS, IL 60558-1838
(815) 351-2108
Mailing address
5304 GRAND AVE, WESTERN SPRINGS, IL 60558-1838
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/08/2016
Last updated
05/08/2016
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