Individual
DESTINY LITTLEJOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14840 SHEPARD DR, DOLTON, IL 60419-2467
(773) 449-0859
Mailing address
14840 SHEPARD DR, DOLTON, IL 60419-2467
(773) 449-0859
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
172V00000X
Community Health Worker
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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