Individual
KERSTIN AUTUMN BRUERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 S WEBSTER AVE, JACKSONVILLE, IL 62650-1877
(217) 479-4232
(217) 479-4328
Mailing address
125 S WEBSTER AVE, JACKSONVILLE, IL 62650-1877
(217) 479-4232
(217) 479-4328
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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