DOMINIC MARCELLUS LIDDELL

CHICAGO, IL
NPI1750077426
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2023-04-14
Last Update Date2023-05-31
Business Address
DOMINIC MARCELLUS LIDDELL
1409 W CARROLL AVE
CHICAGO, IL 60607-1105
Phone number: 312-733-0883
Mailing Address
DOMINIC MARCELLUS LIDDELL
1409 W CARROLL AVE
CHICAGO, IL 60607-1105
Phone number: 312-733-0883