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1518300698
CATHERINE ANNE WADE COLLIE
CARBONDALE, IL
NPI
1518300698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2013-04-09
Last Update Date
2013-04-09
Business Address
-- CATHERINE ANNE WADE COLLIE
1308 BLACK DIAMOND DR
CARBONDALE, IL 62901-5103
Phone number: 618-529-0275
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Mailing Address
-- CATHERINE ANNE WADE COLLIE
1308 BLACK DIAMOND DR
CARBONDALE, IL 62901-5103
Phone number: 618-529-0275
Copy
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