Individual
MRS. ELIZABETH CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 FAIRWAY EST, GRANITE CITY, IL 62040-6509
(618) 792-3794
Mailing address
6 FAIRWAY EST, GRANITE CITY, IL 62040-6509
(618) 792-3794
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
C45022189741
IL
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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