Individual
ABBIE JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1066 E 2250TH ST, LIBERTY, IL 62347-2205
(217) 617-5948
Mailing address
1066 E 2250TH ST, LIBERTY, IL 62347-2205
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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