KOKO SOLENE BURRUSS

CHICAGO, IL
NPI1053831420
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2017-06-26
Last Update Date2017-06-26
Business Address
KOKO SOLENE BURRUSS DT
1258 S CANAL ST
CHICAGO, IL 60607-5213
Phone number: 312-925-7962
Mailing Address
KOKO SOLENE BURRUSS DT
4901 S DREXEL BLVD
CHICAGO, IL 60615-2746
Phone number:
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