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Individual

AUTUMN REESE DANCY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
332 S MICHIGAN AVE STE 900, CHICAGO, IL 60604-4393
(855) 832-6727
Mailing address
1936 MELROSE ST, ROCKFORD, IL 61103-4752
(779) 774-5262

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
IL

Other

Enumeration date
04/15/2026
Last updated
04/15/2026
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