Individual
CASSIDY NICOLE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 S 5TH ST, EFFINGHAM, IL 62401-2657
(217) 821-1604
Mailing address
3724 E LINN AVE, TERRE HAUTE, IN 47805-2003
(217) 821-1604
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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