Organization
AUTISM CLINIC CORP
Active
Other names
Autism Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHADEN S KASSAR BCBA (ADMINSTOR)
(630) 631-9623
Entity
Organization
Contact information
Practice address
7255 GEORGETOWN CMNS, FRANKFORT, IL 60423-3001
(708) 378-4550
(630) 920-0552
Mailing address
7255 GEORGETOWN CMNS, FRANKFORT, IL 60423-3001
(708) 378-4550
(630) 920-0552
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
06/24/2021
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