Individual
HAILEE KALETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1428 SCHOOL ST, WASHINGTON, IL 61571-9509
(309) 745-5413
Mailing address
4105 N BROOKDALE PL APT 2A1, PEORIA, IL 61614-7458
(847) 344-9005
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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