Individual
CAROLINE FELIZZE HIDALGO GARCILLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
917 SHERWOOD DR, LAKE BLUFF, IL 60044-2224
(877) 486-4140
Mailing address
1523 ALMADEN LN, GURNEE, IL 60031-5125
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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