Individual
VICKY JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
11600 FRANCIS RD, MOKENA, IL 60448-2440
(708) 326-4108
Mailing address
2146 W GIDDINGS ST, CHICAGO, IL 60625-1424
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
1-07-3554
IL
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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