Individual
IMANI WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
531 GEORGE AVE, WAUKEGAN, IL 60085-6419
(847) 845-6219
Mailing address
531 GEORGE AVE, WAUKEGAN, IL 60085-6419
(847) 845-6219
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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