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Individual

RUTH E RAEBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10247 COLUMBEY DR, GILLESPIE, IL 62033-2250
(217) 839-4705
(217) 839-4705
Mailing address
PO BOX 326, JERSEYVILLE, IL 62052-0326
(618) 946-0374
(217) 839-4705

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
04/09/2007
Last updated
07/08/2007
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