Individual
CAROLYN THERESA KEEHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1361 CUNAT CT APT 1D, LAKE IN THE HILLS, IL 60156-6123
(224) 623-4885
Mailing address
1361 CUNAT CT APT 1D, LAKE IN THE HILLS, IL 60156-6123
(224) 623-4885
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
18-54302
IL
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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