Individual
GENESIS ALEXIS CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23909 W RENWICK RD, PLAINFIELD, IL 60544-2108
(799) 234-9583
Mailing address
23909 W RENWICK RD, PLAINFIELD, IL 60544-2108
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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