Individual
JACQUELINE ORTIZ CONTRERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 CEDAR LN, GENOA, IL 60135-1179
(815) 375-4739
Mailing address
41 CEDAR LN, GENOA, IL 60135-1179
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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