Individual
KRISTINA G BUEHNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 GRANT DR, BREESE, IL 62230-1792
(618) 979-3943
Mailing address
108 GRANT DR, BREESE, IL 62230-1792
(618) 979-3943
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
2472775
IL
Other
Enumeration date
09/12/2014
Last updated
09/12/2014
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