Individual
MARY KNEPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1773 CHARLES WAITE ST, SYCAMORE, IL 60178-8700
(217) 246-7355
Mailing address
1773 CHARLES WAITE ST, SYCAMORE, IL 60178-8700
(217) 246-7355
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
11/29/2024
Last updated
11/29/2024
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