Individual
KATHLEEN ROSE MCMANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4615 W 103RD ST, OAK LAWN, IL 60453-4718
(331) 229-8843
Mailing address
4424 148TH ST, MIDLOTHIAN, IL 60445-3205
(708) 541-8476
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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