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1285373373
DESTINY ROSE COTY
CARBONDALE, IL
NPI
1285373373
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: IL 150015250)
Enumeration Date
2022-05-27
Last Update Date
2022-05-27
Business Address
DESTINY ROSE COTY LSW
1130 E WALNUT ST
CARBONDALE, IL 62901-5007
Phone number: 309-264-4638
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Mailing Address
DESTINY ROSE COTY LSW
1130 E WALNUT ST
CARBONDALE, IL 62901-5007
Phone number:
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