Carol Lynn McCrary
Carol Lynn McCrary is an Early Intervention Provider Agency in Centralia, Illinois. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
521 E 2nd StCentralia, IL 62801-3514
Phone: (618) 322-6296
Fax: (618) 532-8296
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Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X |
|---|
Record details
| NPI number | 1578812483 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 6, 2012 |
| Last updated in NPPES | September 6, 2012 |
| Mailing address | 521 E 2nd St, Centralia, IL 62801-3514 |
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