Individual
EMILY A LOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 SUNNYMEADE TRL, DEKALB, IL 60115-2354
(815) 275-6191
Mailing address
1030 SUNNYMEADE TRL, DEKALB, IL 60115-2354
(815) 275-6191
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-67565
IL
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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