Kayla R Stanley

NPI #1598412793 in Fairfield, Illinois

Provider Information

NPI Number: 1598412793
Entity Type: Individual
Name: Kayla R Stanley
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Mar 7, 2022
Last Updated: Mar 7, 2022

Practice Location

Address: 1281 COUNTY ROAD 1125 N
City: Fairfield
State: Illinois
ZIP Code: 62837-2949
Phone: (618) 516-2149

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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