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Individual

MS. MARY BETH HARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CVRT, CLVT

Contact information

Practice address
5TH AVENUE AND ROOSEVELT ROAD, BUILDING 113, HINES, IL 60141-5000
(708) 202-8387
(708) 202-7949
Mailing address
2955 LINCOLN AVE, NORTH RIVERSIDE, IL 60546
(708) 447-5765

Taxonomy

Speciality
Code
Description
License number
State
2255R0406X
Blind Rehabilitation Specialist/Technologist
Primary

Other

Enumeration date
10/03/2006
Last updated
07/08/2007
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