Organization
PRACTICAL NETWORK CONSULTING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARLA ANNETTE BLAKE (VICE PRESIDENT)
(618) 942-5096
Entity
Organization
Contact information
Practice address
858 STARLIGHT CT, HERRIN, IL 62948-2445
(618) 942-5096
Mailing address
858 STARLIGHT CT, HERRIN, IL 62948-2445
(618) 942-5096
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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