Individual
CENOVIA WITHERSPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7808 W COLLEGE DR STE 1NE, PALOS HEIGHTS, IL 60463-1097
(773) 449-0859
Mailing address
7808 W COLLEGE DR STE 1NE, PALOS HEIGHTS, IL 60463-1097
(773) 449-0859
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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