SHELLY RAE HERBOTH

ALTAMONT, IL
NPI1386941292
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2011-02-13
Last Update Date2011-02-13
Business Address
Mrs. SHELLY RAE HERBOTH
2868 E 825TH AVE
ALTAMONT, IL 62411-3554
Phone number: 618-483-5493
Mailing Address
Mrs. SHELLY RAE HERBOTH
2868 E 825TH AVE
ALTAMONT, IL 62411-3554
Phone number: 618-483-5493
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HERBOTH DEVELOPMENTAL THERAPY