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Individual

MRS. TABITHA KATHLEEN SCHAFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
100 GOUGAR RD, JOLIET, IL 60432-9787
(815) 476-5405
(815) 476-7361
Mailing address
100 GOUGAR RD, JOLIET, IL 60432-9787
(815) 476-5405
(815) 476-7361

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
02/01/2012
Last updated
02/01/2012
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