Latressa Michele Kirksy
NPI #1396300901 in Bolingbrook, Illinois
Provider Information
- NPI Number
- 1396300901
- Entity Type
- Individual
- Name
- Latressa Michele Kirksy
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- May 8, 2019
- Last Updated
- May 8, 2019
Practice Location
- Address
- 549 EMERSON CIR
- City
- Bolingbrook
- State
- Illinois
- ZIP Code
- 60440-2643
- Phone
- (815) 514-3398
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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