Individual
KIERRA SHANEQUA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1432 ANDOVER DR, AURORA, IL 60504-5985
(815) 280-3474
Mailing address
1432 ANDOVER DR, AURORA, IL 60504-5985
(815) 280-3474
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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