Individual
MS. KATHERINE LEVETTE BEALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21322 KNIGHTBRIDGE CT, MATTESON, IL 60443-2963
(708) 856-9937
Mailing address
21322 KNIGHTBRIDGE CT, MATTESON, IL 60443-2963
(708) 856-9937
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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