Individual
BROOKE MULE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2103 WILLOW BROOKE DR APT 1A, WOODSTOCK, IL 60098-5236
(630) 664-2065
Mailing address
2103 WILLOW BROOKE DR APT 1A, WOODSTOCK, IL 60098-5236
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/23/2026
Last updated
07/23/2026
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