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1639847387
MAKENNA MANIS
CHICAGO, IL
NPI
1639847387
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: RBT-21-171434)
Enumeration Date
2021-08-30
Last Update Date
2021-08-30
Business Address
MAKENNA MANIS
1409 W CARROLL AVE
CHICAGO, IL 60607-1105
Phone number: 312-733-0883
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Mailing Address
MAKENNA MANIS
1409 W CARROLL AVE
CHICAGO, IL 60607-1105
Phone number: 312-733-0883
Copy
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