Carrie Coon

NPI #1043813488 in Springfield, Illinois

Provider Information

NPI Number: 1043813488
Entity Type: Individual
Name: Carrie Coon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Nov 18, 2020
Last Updated: Nov 18, 2020

Practice Location

Address: 1741 HOLMES AVE
City: Springfield
State: Illinois
ZIP Code: 62704-4033
Phone: (217) 741-7425

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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