Individual
CHARTE T RANDLE-EL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15122 VINE AVE, HARVEY, IL 60426-3136
(708) 224-3404
Mailing address
15122 VINE AVE, HARVEY, IL 60426-3136
(708) 224-3404
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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