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Individual

COLE LOWRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X

Contact information

Practice address
2711 W PETERSON AVE, CHICAGO, IL 60659-3919
(773) 937-7527
Mailing address
2134 N POINT ST APT 1, CHICAGO, IL 60647-4019
(434) 401-4986

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-239084
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RBT-22-239084
RBT
IL
Enumeration date
05/09/2024
Last updated
05/13/2024
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