Individual
MRS. RENE YVONNE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14425 E BLUE RIDGE DR, EFFINGHAM, IL 62401-7168
(217) 663-3070
Mailing address
14425 E BLUE RIDGE DR, EFFINGHAM, IL 62401-7168
(217) 663-3070
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/02/2020
Last updated
08/02/2020
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