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Individual

DR. HEATHER WODIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.H D

Contact information

Practice address
1161 LAKE COOK RD, DEERFIELD, IL 60015-5649
(847) 498-5437
Mailing address
1161 LAKE COOK RD, DEERFIELD, IL 60015-5649
(847) 498-5437

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-86121
IL

Other

Enumeration date
06/03/2019
Last updated
06/03/2019
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