Individual
DESTINY KWIATEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4433 W TOUHY AVE, LINCOLNWOOD, IL 60712-1820
(877) 486-4140
Mailing address
4433 W TOUHY AVE, LINCOLNWOOD, IL 60712-1820
(877) 486-4140
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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