Individual
MRS. KATHARINE COURTNEY CLARK-KEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 W STONEGATE BLVD STE 101-2109, ARLINGTON HEIGHTS, IL 60005-1045
(331) 241-6485
Mailing address
3400 W STONEGATE BLVD STE 101-2109, ARLINGTON HEIGHTS, IL 60005-1045
(331) 241-6485
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-48826
IL
227800000X
Certified Respiratory Therapist
BACB514668
IL
Other
Enumeration date
03/24/2021
Last updated
04/16/2021
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