Individual
CEDRICK JULIUS KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
522 E MAIN ST, MASCOUTAH, IL 62258-2240
(618) 566-0313
Mailing address
217 S 19TH ST APT 3, BELLEVILLE, IL 62226-7804
(618) 246-0181
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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