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Individual

MRS. PATRICIA ANN HOOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MED

Contact information

Practice address
618 W MAIN ST, TEUTOPOLIS, IL 62467-1210
(217) 636-3250
Mailing address
618 W MAIN ST, TEUTOPOLIS, IL 62467-1210
(217) 636-3250

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
08/02/2021
Last updated
08/02/2021
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