Individual
ROMA KLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
973 N 6TH ST, MASCOUTAH, IL 62258-1154
(618) 566-4200
(618) 566-3700
Mailing address
125 BOSKYDELLS DR, COLLINSVILLE, IL 62234-1902
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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