Individual
TRACETTE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6621 S GREENWOOD AVE APT 3A, CHICAGO, IL 60637-4333
(708) 819-0984
Mailing address
6621 S GREENWOOD AVE APT 3A, CHICAGO, IL 60637-4333
(708) 819-0984
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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