TEQUITA DOUGLAS

CARBONDALE, IL
NPI1215765706
Former NameTEQUITA WILLIAMS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2024-07-25
Last Update Date2024-07-25
Business Address
TEQUITA DOUGLAS BS
2311 S ILLINOIS AVE
CARBONDALE, IL 62903-5912
Phone number: 618-457-6703
Mailing Address
TEQUITA DOUGLAS BS
902 W MAIN ST
WEST FRANKFORT, IL 62896-2210
Phone number: 618-937-6483
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