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Individual

MS. DENISE TRUSS NASH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1289 WINDHAM PKWY, ROMEOVILLE, IL 60446-1763
(630) 759-0201
Mailing address
407 ELMWOOD AVE, JOLIET, IL 60433-2303
(708) 513-6494

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
10/26/2017
Last updated
10/26/2017
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