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Individual

MRS. BECKY JANE HART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
225 1/2 W MAIN ST., HAVANA, IL 62644
(309) 255-2475
Mailing address
1588 E BRYAN RD, MARIETTA, IL 61459-9343
(309) 255-2475

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.015616
IL

Other

Enumeration date
01/03/2019
Last updated
12/19/2022
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