Individual
VANESSA E MOLDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 N WILTON AVE APT 3N, CHICAGO, IL 60613-5017
(773) 844-1299
Mailing address
3800 N WILTON AVE APT 3N, CHICAGO, IL 60613-5017
(773) 844-1299
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/04/2009
Last updated
05/04/2009
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