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1720652068
PATRICIA MIXON
CARTERVILLE, IL
NPI
1720652068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: IL 150.105149)
Enumeration Date
2021-05-19
Last Update Date
2021-05-19
Business Address
PATRICIA MIXON
403 MUNICIPAL DR
CARTERVILLE, IL 62918-2042
Phone number: 855-608-3561
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Mailing Address
PATRICIA MIXON
902 W MAIN ST
WEST FRANKFORT, IL 62896-2210
Phone number: 618-937-6483
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