Individual
MRS. CORINNE MARIE CLOUGH KAEDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2317 HACKBERRY CT, CHAMPAIGN, IL 61821-6217
(217) 649-2302
Mailing address
2317 HACKBERRY CT, CHAMPAIGN, IL 61821-6217
(217) 649-2302
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/11/2017
Last updated
07/21/2022
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