Individual
MS. KERRY ANNE O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 W COSSITT AVE, LA GRANGE, IL 60525-2145
(708) 783-4320
Mailing address
1301 W COSSITT AVE, LA GRANGE, IL 60525-2145
(708) 783-4320
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5178
IL
Other
Enumeration date
09/12/2011
Last updated
05/27/2013
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