Individual
CARRIE J LOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
140 S 10TH AVE, MAYWOOD, IL 60153-1334
(773) 800-6469
Mailing address
140 S 10TH AVE, MAYWOOD, IL 60153-1334
(773) 800-6469
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-404-86
IL
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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