Individual
AMANDA GARZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1240 S 59TH AVE, CICERO, IL 60804-1125
(708) 336-1692
Mailing address
1240 S 59TH AVE, CICERO, IL 60804-1125
(708) 336-1692
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/11/2022
Last updated
11/11/2022
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