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1003685462
ALYSSA POTACKI
OAK LAWN, IL
NPI
1003685462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-12-27
Last Update Date
2023-12-27
Business Address
ALYSSA POTACKI
4954 W 95TH ST
OAK LAWN, IL 60453-2504
Phone number: 630-290-8500
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Mailing Address
ALYSSA POTACKI
4954 W 95TH ST
OAK LAWN, IL 60453-2504
Phone number:
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