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Individual

CLARE ISABELLA MCQUINN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
975 W HAWTHORN DR, ITASCA, IL 60143-2056
(800) 844-1232
Mailing address
14620 RIDGE AVE, ORLAND PARK, IL 60462-1966
(312) 342-1411

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-117438
IL

Other

Enumeration date
06/08/2021
Last updated
06/08/2021
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