Jillian Raine Crump

NPI #1184261000 in Mascoutah, Illinois

Provider Information

NPI Number: 1184261000
Entity Type: Individual
Name: Jillian Raine Crump
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 10, 2019
Last Updated: Dec 10, 2019

Practice Location

Address: 522 E MAIN ST
City: Mascoutah
State: Illinois
ZIP Code: 62258-2240
Phone: (618) 566-0313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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