PETER MICHAEL MUDD

EVANSTON, IL
NPI1841326675
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149002878)
Enumeration Date2007-02-26
Last Update Date2007-07-08
Business Address
Mr. PETER MICHAEL MUDD
708 CHURCH ST SUITE 258
EVANSTON, IL 60201-3875
Phone number: 847-332-2589
Mailing Address
Mr. PETER MICHAEL MUDD
708 CHURCH ST SUITE 258
EVANSTON, IL 60201-3875
Phone number: 847-332-2589
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