Individual
MRS. ABAGAIL ROSE WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15440 GRESHAM RD, MACKINAW, IL 61755-9301
(309) 264-2048
Mailing address
15440 GRESHAM RD, MACKINAW, IL 61755-9301
(309) 264-2048
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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