Individual
MRS. KATI JO CLISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3138 WHITNEY ROAD, AURORA, IL 60502
(630) 229-6129
Mailing address
3138 WHITNEY RD, AURORA, IL 60502-7055
(630) 229-6129
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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