Individual
DANA JEAN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2060 N HUMBOLDT BLVD APT 2, CHICAGO, IL 60647-3805
(248) 787-1138
Mailing address
2060 N HUMBOLDT BLVD APT 2, CHICAGO, IL 60647-3805
(847) 306-9843
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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