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Organization
GENA HAILE
Active
Organization
GENA HAILE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GENA HAILE LCSW (LCSW)
(618) 841-3730
Entity
Organization
Contact information
Practice address
800 W MAIN ST, CARBONDALE, IL 62901-2538
(618) 529-2273
Mailing address
2217 PINE ST, ELDORADO, IL 62930-2188
(618) 841-3730
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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