Dominique Stewart

NPI #1083452403 in Oak Lawn, Illinois

Provider Information

NPI Number: 1083452403
Entity Type: Individual
Name: Dominique Stewart
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 18, 2024
Last Updated: Jul 18, 2024

Practice Location

Address: 4615 W 103RD ST
City: Oak Lawn
State: Illinois
ZIP Code: 60453-4718
Phone: (331) 229-8839

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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