Individual
DEANNA BIRKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
902 W MAIN ST, WEST FRANKFORT, IL 62896-2210
(618) 319-6060
Mailing address
402 E PLAZA DR STE 5, CARTERVILLE, IL 62918-2092
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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