Individual
MS. FAYE MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1422 W WILLOW ST STE 102, CHICAGO, IL 60642-8977
(773) 362-2088
Mailing address
5121 N KENMORE AVE, CHICAGO, IL 60640-3137
(504) 676-1382
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-74045
IL
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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