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1790373934
CALEB FISHBACK
VIENNA, IL
NPI
1790373934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-01-04
Last Update Date
2021-01-04
Business Address
CALEB FISHBACK BSW, MHP
101 OLIVER ST
VIENNA, IL 62995-1660
Phone number: 618-658-2611
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Mailing Address
CALEB FISHBACK BSW, MHP
101 OLIVER ST
VIENNA, IL 62995-1660
Phone number: 618-658-2611
Copy
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