Individual
JASMINE CAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Mailing address
678 CEDAR CREEK RD, MAKANDA, IL 62958-2014
(618) 967-6488
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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