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1275717126
GARY S HEATH
CARBONDALE, IL
NPI
1275717126
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149007002)
Enumeration Date
2007-12-27
Last Update Date
2007-12-27
Business Address
-- GARY S HEATH
3200 FISHBACK RD
CARBONDALE, IL 62901-6307
Phone number: 618-457-1111
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Mailing Address
-- GARY S HEATH
3200 FISHBACK ROAD
CARBONDALE, IL 62901
Phone number: 618-457-1111
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