Individual
ALEXANDRA LIBEN-COVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2477 W GUNNISON ST, CHICAGO, IL 60625-2894
(618) 567-9354
Mailing address
2477 W GUNNISON ST, CHICAGO, IL 60625-2894
(618) 567-9354
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/06/2013
Last updated
06/01/2016
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