Individual
KIMBERLY LATRICE SPEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5801 MOUNT PLEASANT LN, BELLEVILLE, IL 62223-3944
(618) 489-5102
Mailing address
3317 DOVERSHIRE DR, BELLEVILLE, IL 62221-6668
(618) 363-8747
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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