Individual
KARL FANNAR GUNNARSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2020 EVERGREEN TERRACE DR W, APT. 1, CARBONDALE, IL 62901-3943
(618) 203-4587
Mailing address
2020 EVERGREEN TERRACE DR W, APT 1, CARBONDALE, IL 62901-3943
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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