Individual
ANDREA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19150 KEDZIE AVE STE 208, HOMEWOOD, IL 60430-4541
(312) 478-8467
(312) 284-2375
Mailing address
2038 221ST ST, SAUK VILLAGE, IL 60411-5064
(312) 478-8467
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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