Individual
KATIE FRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
522 E MAIN ST, MASCOUTAH, IL 62258-2240
(618) 566-0313
Mailing address
208 W HICKORY ST, JERSEYVILLE, IL 62052-1608
(618) 535-9523
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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