Individual
CASSANDRA DIERKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
4604 JAYDEN CT, QUINCY, IL 62305-9148
(417) 464-9254
Mailing address
4604 JAYDEN CT, QUINCY, IL 62305-9148
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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