Individual
CYNTHIA FEDRIGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 W ELM ST, BROWNSTOWN, IL 62418-1219
(618) 335-1013
Mailing address
123 W ELM ST, BROWNSTOWN, IL 62418-1219
(618) 335-1013
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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