Individual
JAIME SUE DWIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 SAINT LOUIS ST, EDWARDSVILLE, IL 62025-1979
(844) 854-1116
Mailing address
5008 BROOK RD, ALTON, IL 62002-6903
(616) 402-1003
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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