Individual
KASHONTE J WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7222 W CERMAK RD STE 500, NORTH RIVERSIDE, IL 60546-1443
(708) 949-0746
Mailing address
7222 W CERMAK RD STE 500, NORTH RIVERSIDE, IL 60546-1443
(708) 949-0746
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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