Individual
JULIE LAUREN SODERBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
2416 E WASHINGTON ST, SUITE G, BLOOMINGTON, IL 61704-4472
(309) 662-5050
(630) 303-9704
Mailing address
2416 E WASHINGTON ST, SUITE G, BLOOMINGTON, IL 61704-4472
(309) 662-5050
(630) 303-9704
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-10-3827
IL
Other
Enumeration date
07/12/2010
Last updated
07/12/2010
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