MICHAEL MUDGETT

CHICAGO, IL
NPI1134536865
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.018688)
Enumeration Date2014-07-15
Last Update Date2017-01-31
Business Address
-- MICHAEL MUDGETT LCSW
5524 W HARRISON ST
CHICAGO, IL 60644-5032
Phone number: 773-854-5073
Mailing Address
-- MICHAEL MUDGETT LCSW
645 S CENTRAL AVE
CHICAGO, IL 60644-5059
Phone number:
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