Individual
ALEXIA DOMINIQUE CHLIBOVYTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 BROOKFOREST AVE UNIT M, SHOREWOOD, IL 60404-8516
(815) 469-1500
Mailing address
850 BROOKFOREST AVE UNIT M, SHOREWOOD, IL 60404-8516
(815) 469-1500
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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