Elizabeth Divine

NPI #1003525940 in O Fallon, Illinois

Provider Information

NPI Number
1003525940
Entity Type
Individual
Name
Elizabeth Divine
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Nov 18, 2022
Last Updated
Nov 18, 2022

Practice Location

Address
634 N MAIN ST
ZIP Code
62269-3751
Phone
(618) 726-5870

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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