Individual
KEENAN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
950 LEE ST, DES PLAINES, IL 60016-6532
(877) 486-4140
Mailing address
3726 WESLEY AVE, BERWYN, IL 60402-4024
(773) 329-1669
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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