Individual
ELLEN KUEBRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28859 DELHI RD, JERSEYVILLE, IL 62052-6907
(618) 946-0352
Mailing address
28859 DELHI RD, JERSEYVILLE, IL 62052-6907
(618) 946-0352
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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