Individual
MRS. JULIE KATHLEEN TRIMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 KATHY CT, BLUE MOUND, IL 62513-9580
(217) 620-4066
Mailing address
112 KATHY CT, BLUE MOUND, IL 62513-9580
(217) 620-4066
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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