Individual
AGNES MARIA MANISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1318 WAUKEGAN RD, GLENVIEW, IL 60025-3022
(847) 595-4808
Mailing address
9042 MAJOR AVE, MORTON GROVE, IL 60053-2534
(224) 436-5086
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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