Individual
KEISHA GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15716 WOODLAWN EAST AVE, SOUTH HOLLAND, IL 60473-1836
(708) 270-7195
Mailing address
15716 WOODLAWN EAST AVE, SOUTH HOLLAND, IL 60473-1836
(708) 270-7195
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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