Individual
KATHARYN MICHAEL BOYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15900 W 127TH ST STE 201, LEMONT, IL 60439-2912
(630) 281-2496
(630) 839-9138
Mailing address
27001 W CYPRESS RD, CHANNAHON, IL 60410-3423
(719) 505-6323
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
106S00000X
Behavior Technician
RBT-19-91484
IL
Other
Enumeration date
08/02/2019
Last updated
10/18/2022
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