Individual
DEMETRIA GUIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6013 KEVIN WAY, MATTESON, IL 60443-1177
(773) 817-5266
Mailing address
6013 KEVIN WAY, MATTESON, IL 60443-1177
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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