| Leaning Fence Therapy Center Llc | |
|
8453 S Schiller St Dorsey IL 62021-1807 | |
| (618) 417-7126 | |
| Not Available |
| Full Name | Leaning Fence Therapy Center Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8453 S Schiller St, Dorsey, Illinois |
| Authorized Official Name and Position | Jennifer Koranyi (OWNER) |
| Authorized Official Contact | 6184177126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leaning Fence Therapy Center Llc 8453 S Schiller St Dorsey IL 62021-1807 Ph: (618) 417-7126 | Leaning Fence Therapy Center Llc 8453 S Schiller St Dorsey IL 62021-1807 Ph: (618) 417-7126 |
| NPI Number | 1790513380 |
|---|---|
| Provider Enumeration Date | 07/24/2024 |
| Last Update Date | 07/24/2024 |
| Certification Date | 07/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790513380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |