Individual
MRS. NANCY ANNE WRAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DEVELOPMENTAL THERAP
Contact information
Practice address
2324 1250TH AVE, ATLANTA, IL 61723-9336
(217) 642-5379
Mailing address
2324 1250TH AVE, ATLANTA, IL 61723-9336
(217) 642-5379
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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