Individual
DOMINIQUE O MCCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1745 N KEYSTONE AVE APT 508, CHICAGO, IL 60639-4949
(773) 867-0123
Mailing address
1745 N KEYSTONE AVE APT 508, CHICAGO, IL 60639-4949
(773) 867-0123
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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