Individual
MR. MATTHEW MARONICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AM, MPP, LSW
Contact information
Practice address
1630 GEORGETOWN RD, TILTON, IL 61833-8109
(443) 682-0360
Mailing address
1630 GEORGETOWN RD, TILTON, IL 61833-8109
(443) 682-0360
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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