Individual
DEENAH WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16622 HONORE AVE, MARKHAM, IL 60428-5817
(708) 904-0737
Mailing address
16622 HONORE AVE, MARKHAM, IL 60428-5817
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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