JACQUELYN ROSE FARA

ST CHARLES, IL
NPI1174015994
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence: IL  RBT-16-19382)
Enumeration Date2018-06-06
Last Update Date2018-06-06
Business Address
JACQUELYN ROSE FARA RBT-16-19382
1707 S 5TH PL
ST CHARLES, IL 60174-4324
Phone number: 630-335-9962
Mailing Address
JACQUELYN ROSE FARA RBT-16-19382
1707 S 5TH PL
ST CHARLES, IL 60174-4324
Phone number: 630-335-9962
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