Individual
JACQUELINE RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4732 S LA CROSSE AVE, CHICAGO, IL 60638-2031
(773) 747-1170
Mailing address
4732 S LA CROSSE AVE, CHICAGO, IL 60638-2031
(773) 747-1170
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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