Individual
LEAH BURRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
915 E NEWKIRK ST, TUSCOLA, IL 61953-1139
(217) 549-7651
Mailing address
915 E NEWKIRK ST, TUSCOLA, IL 61953-1139
(217) 549-7651
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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