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1861798910
HEATHER DALE CARNEY
BENTON, IL
NPI
1861798910
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2011-02-08
Last Update Date
2011-02-08
Business Address
Miss HEATHER DALE CARNEY
606 WASTENA ST
BENTON, IL 62812-3447
Phone number: 618-927-1366
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Mailing Address
Miss HEATHER DALE CARNEY
606 WASTENA ST
BENTON, IL 62812-3447
Phone number: 618-927-1366
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