Individual
MRS. CARISSA MAE SCHMITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
323 S MENARD ST, METAMORA, IL 61548-1044
(309) 367-2515
Mailing address
323 S MENARD ST, METAMORA, IL 61548-1044
(309) 367-2515
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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