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1194509026
MARTHA ANN BLANKENSHIP
CARTERVILLE, IL
NPI
1194509026
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Former Name
MARTHA ANN VICKERY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: IL 150.105572)
Enumeration Date
2023-08-22
Last Update Date
2023-08-22
Business Address
MARTHA ANN BLANKENSHIP MSW,LSW
403 MUNICIPAL DR
CARTERVILLE, IL 62918-2042
Phone number: 855-608-3560
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Mailing Address
MARTHA ANN BLANKENSHIP MSW,LSW
902 W MAIN ST
WEST FRANKFORT, IL 62896-2210
Phone number: 618-937-6483
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