Individual
MRS. HANNAH LODER-SEFFINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
522 E MAIN ST, MASCOUTAH, IL 62258-2240
(618) 566-0313
Mailing address
38 COUGAR DR APT G, GLEN CARBON, IL 62034-2924
(815) 272-5485
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-136907
IL
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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