Individual
ANNA COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10257 IL-3, RED BUD, IL 62278
(618) 282-6233
Mailing address
421 BEM ST, CHESTER, IL 62233-1027
(618) 615-8244
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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