Individual
HALEY HASBARGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 LAKE LAND BLVD, MATTOON, IL 61938-5283
(217) 258-3370
Mailing address
311 VINE AVE, CHARLESTON, IL 61920-1059
(217) 251-6017
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150105840
IL
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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