Individual
AUDRIAHNA C MACKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5221 6TH STREET FRONTAGE RD E STE 100, SPRINGFIELD, IL 62703-5745
(217) 292-1983
Mailing address
5221 6TH STREET FRONTAGE RD E STE 100, SPRINGFIELD, IL 62703-5745
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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