Individual
ANNE KATHLEEN TULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 WALNUT ST STE B, ST CHARLES, IL 60174-2766
(630) 542-1845
Mailing address
101 E JANATA BLVD APT 2A, LOMBARD, IL 60148-5931
(630) 542-1845
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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