Individual
HADEEL DAMRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14484 JOHN HUMPHREY DR, ORLAND PARK, IL 60462-2638
(708) 261-6391
Mailing address
12064 S LEAMINGTON AVE, ALSIP, IL 60803-3136
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2024
Last updated
09/27/2024
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