Individual
MS. RENEE ROSE JUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
440 OAK ST, COBDEN, IL 62920-2107
(618) 893-4753
Mailing address
440 OAK ST, COBDEN, IL 62920-2107
(618) 893-4753
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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