Individual
ASHLEY MARIE LOOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
950 LEE ST STE 210, DES PLAINES, IL 60016-6574
(877) 486-4140
Mailing address
1233 WAYNE DR, DES PLAINES, IL 60018-1415
(224) 577-8361
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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