Individual
KERRINGTON RENE STEWART-GOODIWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 GLEN CROSSING RD, GLEN CARBON, IL 62034-1405
(630) 339-5327
Mailing address
544 JEFFREY PINE CT, O FALLON, IL 62269-2553
(618) 477-6472
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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