LANCE DUTENHAFER

ROCKFORD, IL
NPI1609606524
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: IL  RBT-24-360456)
Enumeration Date2024-08-05
Last Update Date2024-08-05
Business Address
LANCE DUTENHAFER
7177 CRIMSON RIDGE DR STE 10
ROCKFORD, IL 61107-6235
Phone number: 847-465-9556
Mailing Address
LANCE DUTENHAFER
991 OAK CREEK DR
LOMBARD, IL 60148-6408
Phone number: 847-465-9556
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