Individual
ALLIE MCKENNA DAUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7360 N LINCOLN AVE STE 110, LINCOLNWOOD, IL 60712-1705
(888) 329-4535
Mailing address
2424 W OHIO ST # 2, CHICAGO, IL 60612-1222
(203) 216-1521
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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