| Clover Solutions Llc | |
|
5221 6th Street Frontage Rd E Springfield IL 62703-5190 | |
| (217) 292-1983 | |
| Not Available |
| Full Name | Clover Solutions Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5221 6th Street Frontage Rd E, Springfield, Illinois |
| Authorized Official Name and Position | Kelly Trutter (OWNER/PRACTICE MANAGER) |
| Authorized Official Contact | 2172921983 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clover Solutions Llc 5221 6th Street Frontage Rd E Springfield IL 62703-5190 Ph: (217) 292-1983 | Clover Solutions Llc 5221 6th Street Frontage Rd E Springfield IL 62703-5190 Ph: (217) 292-1983 |
| NPI Number | 1144814773 |
|---|---|
| Provider Enumeration Date | 02/24/2021 |
| Last Update Date | 02/24/2021 |
| Certification Date | 02/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144814773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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