Individual
CARLEY DECORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3033 W JEFFERSON ST STE 105, JOLIET, IL 60435-5249
(224) 291-8831
Mailing address
8609 W BRYN MAWR AVE STE 204, CHICAGO, IL 60631-3524
(773) 644-7787
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64659
IL
Other
Enumeration date
03/17/2023
Last updated
04/09/2023
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