Individual
KAYLA R STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1281 COUNTY ROAD 1125 N, FAIRFIELD, IL 62837-2949
(618) 516-2149
Mailing address
1281 COUNTY ROAD 1125 N, FAIRFIELD, IL 62837-2949
(618) 516-2149
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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