Individual
CELIA MARIAN BALDERSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1161 LAKE COOK RD, DEERFIELD, IL 60015-5649
(224) 326-2208
(847) 498-5438
Mailing address
1161 LAKE COOK RD, DEERFIELD, IL 60015-5649
(224) 326-2208
(847) 498-5438
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
2118318
IL
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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