Individual
KYNDRA CALVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38 GRAND CHAIN RD, GRAND CHAIN, IL 62941-2010
(618) 967-2502
Mailing address
PO BOX 214, GRAND CHAIN, IL 62941-0214
(618) 967-2502
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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