Individual
ANGEL GRAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7250 N CICERO AVE, LINCOLNWOOD, IL 60712-1643
(877) 486-4140
Mailing address
6034 S NARRAGANSETT AVE, CHICAGO, IL 60638-4210
(872) 208-0145
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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