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1841326675
PETER MICHAEL MUDD
EVANSTON, IL
NPI
1841326675
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149002878)
Enumeration Date
2007-02-26
Last Update Date
2007-07-08
Business Address
Mr. PETER MICHAEL MUDD
708 CHURCH ST SUITE 258
EVANSTON, IL 60201-3875
Phone number: 847-332-2589
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Mailing Address
Mr. PETER MICHAEL MUDD
708 CHURCH ST SUITE 258
EVANSTON, IL 60201-3875
Phone number: 847-332-2589
Copy
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