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Individual

KEMANI ANN LASHAE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
332 S MICHIGAN AVE STE 900, CHICAGO, IL 60604-4393
(708) 916-9029
Mailing address
50 AMANDA CT, CRETE, IL 60417-2872
(708) 916-9029

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
10/23/2023
Last updated
11/21/2025
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