Individual
CHARISSE MCCRAIG-THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 W WARNER AVE STE 101, CHICAGO, IL 60613-1891
(312) 940-2190
Mailing address
6929 S SANGAMON ST APT 1, CHICAGO, IL 60621-1707
(773) 817-9598
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
M262-1179-5767
IL
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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