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1437759701
DIANNA MICHELLE CASTLEBERRY
BARRY, IL
NPI
1437759701
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2020-10-27
Last Update Date
2020-11-24
Business Address
DIANNA MICHELLE CASTLEBERRY
1166 MASON ST
BARRY, IL 62312-1137
Phone number: 217-335-2961
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Mailing Address
DIANNA MICHELLE CASTLEBERRY
PO BOX 24
BARRY, IL 62312-0024
Phone number: 217-335-2961
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