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Individual

CARLEY ROGECHEL HAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
400 E 4TH ST, BEARDSTOWN, IL 62618-1307
(217) 248-5795
Mailing address
1 HART DR, BEARDSTOWN, IL 62618-8011
(217) 491-5891

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009166
IL

Other

Enumeration date
10/17/2012
Last updated
01/06/2023
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