Individual
AMY RENEE COURSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1004 W SYCAMORE ST, CARMI, IL 62821-2344
(618) 384-0763
Mailing address
1004 W SYCAMORE ST, CARMI, IL 62821-2344
(618) 384-0763
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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