Individual
MISS ALEXANDRA KRISTEN PETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
9649 W 55TH ST, COUNTRYSIDE, IL 60525-3632
(708) 352-3580
(708) 352-2715
Mailing address
9649 W 55TH ST, COUNTRYSIDE, IL 60525-3632
(708) 352-3580
(708) 352-2715
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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