Jessica Ann Legault

NPI #1114577764 in Greenville, Illinois

Provider Information

NPI Number
1114577764
Entity Type
Individual
Name
Jessica Ann Legault
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Developmental Therapist
Enumeration Date
Sep 16, 2019
Last Updated
Sep 16, 2019

Practice Location

Address
416 E COLLEGE AVE
ZIP Code
62246-1523
Phone
(618) 531-1596

Specialties & Taxonomy Codes

Specialty
Developmental Therapist

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