CALEB FISHBACK

VIENNA, IL
NPI1790373934
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2021-01-04
Last Update Date2021-01-04
Business Address
CALEB FISHBACK BSW, MHP
101 OLIVER ST
VIENNA, IL 62995-1660
Phone number: 618-658-2611
Mailing Address
CALEB FISHBACK BSW, MHP
101 OLIVER ST
VIENNA, IL 62995-1660
Phone number: 618-658-2611