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1316545999
MADISON DELANEY KATES
MASCOUTAH, IL
NPI
1316545999
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IL RBT-20-140034)
Enumeration Date
2020-10-15
Last Update Date
2020-10-15
Business Address
MADISON DELANEY KATES RBT
522 E MAIN ST
MASCOUTAH, IL 62258-2240
Phone number: 618-566-0313
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Mailing Address
MADISON DELANEY KATES RBT
312 E 1ST ST
TRENTON, IL 62293-1508
Phone number: 217-628-4021
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