Individual
MAKENNA GAFFNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
139 N BROOKS ST, WAVERLY, IL 62692-1030
(217) 502-4710
Mailing address
139 N BROOKS ST, WAVERLY, IL 62692-1030
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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