LATRICE BOLTON

CHAMPAIGN, IL
NPI1235712928
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2021-04-30
Last Update Date2021-04-30
Business Address
LATRICE BOLTON
517 W TOWN CENTER BLVD
CHAMPAIGN, IL 61822-1248
Phone number: 844-263-1613
Mailing Address
LATRICE BOLTON
517 W TOWN CENTER BLVD
CHAMPAIGN, IL 61822-1248
Phone number: 844-263-1613
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