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Individual

BONNIE M SHEA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RBT-19-77455

Contact information

Practice address
15239 W WALNUT DR, DEERFIELD, IL 60015-3570
(508) 361-6344
Mailing address
15239 W WALNUT DR, DEERFIELD, IL 60015-3570
(508) 361-6344

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-77455
IL

Other

Enumeration date
02/10/2019
Last updated
02/10/2019
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