Individual
JEAN ANNE CRALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19767 N IRIS LN, MOUNT VERNON, IL 62864-8831
(618) 237-2040
Mailing address
19767 N IRIS LN, MOUNT VERNON, IL 62864-8831
(618) 237-2040
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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