Individual
CHARITY OZENKOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15891 N 1950TH ST, TEUTOPOLIS, IL 62467-3367
(217) 821-0107
Mailing address
15891 N 1950TH ST, TEUTOPOLIS, IL 62467-3367
(217) 821-0107
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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