LISA HANES

ANTIOCH, IL
NPI1700376829
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence: IL  18-48335)
Enumeration Date2018-05-14
Last Update Date2018-05-14
Business Address
LISA HANES RBT-18-48335
1015 COTHERSTONE PL
ANTIOCH, IL 60002-1121
Phone number: 847-204-0208
Mailing Address
LISA HANES RBT-18-48335
1015 COTHERSTONE PL
ANTIOCH, IL 60002-1121
Phone number: 847-204-0208
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