Individual
MS. KATHRYN LUCILLE PELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1446 W BYRON ST APT 1, CHICAGO, IL 60613-7030
(262) 664-1106
Mailing address
1446 W BYRON ST APT 1, CHICAGO, IL 60613-7030
(262) 664-1106
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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