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Individual

DAISY DEL TORO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1214 ELSIE DR, MELROSE PARK, IL 60160-2225
(708) 264-9009
Mailing address
1214 ELSIE DR, MELROSE PARK, IL 60160-2225
(708) 264-9008

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
IL
106S00000X
Behavior Technician

Other

Enumeration date
03/31/2021
Last updated
03/31/2021
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