Khalidah Malikah Agnew

NPI #1306612924 in Oak Lawn, Illinois

Provider Information

NPI Number: 1306612924
Entity Type: Individual
Name: Khalidah Malikah Agnew
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 27, 2023
Last Updated: Nov 27, 2023

Practice Location

Address: 5540 W 111TH ST
City: Oak Lawn
State: Illinois
ZIP Code: 60453-5574
Phone: (708) 634-0821

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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