Individual
CLAUDIA MAZARIEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3452 N NATCHEZ AVE, CHICAGO, IL 60634-3817
(847) 306-9843
Mailing address
3452 N NATCHEZ AVE, CHICAGO, IL 60634-3817
(847) 306-9843
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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