Individual
MISS ALLIAH ROSE CLEOFAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4615 W 103RD ST, OAK LAWN, IL 60453-4718
(331) 229-8843
Mailing address
6040 LAKE BLUFF DR UNIT 102, TINLEY PARK, IL 60477-7149
(708) 870-4063
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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