Individual
ALEXANDRIA SAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
188 W ILLINOIS HWY, NEW LENOX, IL 60451-5501
(779) 803-1373
Mailing address
721 OGDEN RD, NEW LENOX, IL 60451-2231
(779) 435-3578
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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