Individual
MS. AISHA DANIELE SHEALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
7670 MARMORA AVE, SKOKIE, IL 60077-2628
(847) 967-1800
Mailing address
7670 MARMORA AVE, SKOKIE, IL 60077-2628
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/02/2010
Last updated
02/02/2010
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