Individual
ALIYAH MANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9115 S CICERO AVE STE 200, OAK LAWN, IL 60453-1771
(773) 449-0859
Mailing address
9115 S CICERO AVE STE 200, OAK LAWN, IL 60453-1771
(773) 449-0859
(708) 398-8155
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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