Individual
MRS. MARILYN JANE WEBSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
835 W DOUGLAS AVE, JACKSONVILLE, IL 62650-1825
(217) 245-2846
Mailing address
835 W DOUGLAS AVE, JACKSONVILLE, IL 62650-1825
(217) 245-2846
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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