Individual
VALERIE NICOLE POULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 N KRAMER AVE, LOMBARD, IL 60148-1943
(630) 651-2075
Mailing address
1732 KENNSINGTON LN, CRYSTAL LAKE, IL 60014-2047
(815) 345-9034
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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