Individual
DEION LEANN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6419 W 87TH ST, OAK LAWN, IL 60453-1048
(708) 506-0821
Mailing address
1749 E 71ST PL, CHICAGO, IL 60649-2308
(773) 996-4551
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/08/2019
Last updated
09/08/2019
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