Nicole Ann Denman

NPI #1588145056 in Lakemoor, Illinois

Provider Information

NPI Number: 1588145056
Entity Type: Individual
Name: Nicole Ann Denman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 23, 2018
Last Updated: Aug 23, 2018

Practice Location

Address: 316 VENICE RD
City: Lakemoor
State: Illinois
ZIP Code: 60051-8648
Phone: (847) 767-4414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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