CARISSA WELTON NIEMERG

EFFINGHAM, IL
NPI1457984460
Former NameCARISSA WELTON GOOSTREE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2020-02-18
Last Update Date2020-02-18
Business Address
Mrs. CARISSA WELTON NIEMERG
14535 N AMBER LN
EFFINGHAM, IL 62401-4340
Phone number: 618-322-6918
Mailing Address
Mrs. CARISSA WELTON NIEMERG
14535 N AMBER LN
EFFINGHAM, IL 62401-4340
Phone number: 618-322-6918
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