Individual
MRS. KIMBERLY ANN EARLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1608 SANTA FE RD, WASHINGTON, IL 61571-9727
(309) 444-2686
Mailing address
1608 SANTA FE RD, WASHINGTON, IL 61571-9727
(309) 444-2686
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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