Individual
BETH CULLOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18350 CROSSING DR, TINLEY PARK, IL 60487-6294
(708) 342-5233
Mailing address
3818 W 107TH ST, CHICAGO, IL 60655-3805
(708) 363-4558
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.007683
IL
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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