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1043471105
JOAN ALICE WEBER
CARBONDALE, IL
NPI
1043471105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2008-06-21
Last Update Date
2008-06-21
Business Address
-- JOAN ALICE WEBER
110 SUNRISE TRL
CARBONDALE, IL 62902-7523
Phone number: 618-553-1476
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Mailing Address
-- JOAN ALICE WEBER
110 SUNRISE TRL
CARBONDALE, IL 62902-7523
Phone number: 618-553-1476
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