Individual
MRS. BERNICE MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2035 MAYFAIR DR, ISLAND LAKE, IL 60042-8841
(847) 858-7532
Mailing address
2035 MAYFAIR DR, ISLAND LAKE, IL 60042-8841
(847) 858-7532
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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