MRS. Carissa Welton Niemerg

NPI #1457984460 in Effingham, Illinois

Provider Information

NPI Number
1457984460
Entity Type
Individual
Name
MRS. Carissa Welton Niemerg
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Developmental Therapist
Enumeration Date
Feb 18, 2020
Last Updated
Feb 18, 2020

Practice Location

Address
14535 N AMBER LN
ZIP Code
62401-4340
Phone
(618) 322-6918

Specialties & Taxonomy Codes

Specialty
Developmental Therapist

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