Individual
JESSICA KUBICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8117 W LAWRENCE AVE APT 2, NORRIDGE, IL 60706-3162
(708) 612-6539
Mailing address
8117 W LAWRENCE AVE APT 2, NORRIDGE, IL 60706-3162
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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