Individual
RILEY BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9835 OLD BAINBRIDGE TRL, MARION, IL 62959-5831
(618) 440-1534
Mailing address
4409 MCINTURF LN, MARION, IL 62959-6095
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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