Individual
CAITLIN MAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2320 E LINCOLN HWY, NEW LENOX, IL 60451-9533
(815) 475-0200
(815) 239-0388
Mailing address
2320 E LINCOLN HWY, NEW LENOX, IL 60451-9533
(815) 475-0200
(815) 239-0388
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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