Individual
LILY ROSE ANDREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
959 W OGDEN AVE, NAPERVILLE, IL 60563-2911
(331) 801-2988
Mailing address
4946 DOUGLAS RD APT 301, DOWNERS GROVE, IL 60515-3878
(630) 841-7554
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.114153
IL
106S00000X
Behavior Technician
RBT-22-236330
IL
Other
Enumeration date
10/19/2022
Last updated
10/17/2025
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