Individual
YOLANDA MARCIA BRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.T., LBSI
Contact information
Practice address
3237 W LEXINGTON ST, CHICAGO, IL 60624-4129
(773) 826-4916
Mailing address
PO BOX 24787, CHICAGO, IL 60624-0787
(773) 826-4916
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
2393700
IL
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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