Individual
MRS. KELLY MARIE HENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 KRISTIN DR UNIT 203, SCHAUMBURG, IL 60195-3332
(847) 437-1005
Mailing address
21 KRISTIN DR UNIT 203, SCHAUMBURG, IL 60195-3332
(847) 437-1005
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-66890
IL
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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