Individual
MS. EMILY BURWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 N VERNON ST, MARINE, IL 62061-1082
(217) 358-0030
Mailing address
310 N VERNON ST, PO BOX 251, MARINE, IL 62061-1082
(217) 358-0030
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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