Individual
KRISTIE ANSINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11130 2ND ST, MOKENA, IL 60448-1512
(815) 955-7567
Mailing address
11130 2ND ST, MOKENA, IL 60448-1512
(815) 955-7567
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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