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1699238808
LENWORTH MICHAEL TAYLOR
NORTHBROOK, IL
NPI
1699238808
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-04-13
Last Update Date
2019-04-13
Business Address
LENWORTH MICHAEL TAYLOR
5 REVERE DR STE 120
NORTHBROOK, IL 60062-8005
Phone number: 847-306-9843
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Mailing Address
LENWORTH MICHAEL TAYLOR
5 REVERE DR STE 120
NORTHBROOK, IL 60062-8005
Phone number: 844-247-7222
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