TED GENNERMAN

MARION, IL
NPI1487488177
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2024-08-27
Last Update Date2024-08-27
Business Address
TED GENNERMAN Ph.D
1307 W MAIN ST
MARION, IL 62959-1139
Phone number: 618-997-5336
Mailing Address
TED GENNERMAN Ph.D
902 W MAIN ST
WEST FRANKFORT, IL 62896-2210
Phone number: 618-937-6483
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