Individual
ANGELINA MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 LEE ST, DES PLAINES, IL 60016-6532
(773) 896-5208
Mailing address
6850 N OTTAWA AVE, CHICAGO, IL 60631-1105
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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