Individual
ANNETTE WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1657 W CORTLAND ST, CHICAGO, IL 60622-1119
(866) 815-6592
Mailing address
1657 W CORTLAND ST, CHICAGO, IL 60622-1119
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-217359
IL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/26/2022
Last updated
06/06/2022
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