Individual
DANETTE BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
975 W HAWTHORN DR, ITASCA, IL 60143-2056
(630) 290-1067
Mailing address
28W680 ALENA DR, WEST CHICAGO, IL 60185-2402
(630) 290-1067
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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