MIRIAM P OWENS GUTIERRE

CRYSTAL LAKE, IL
NPI1871618801
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL  180001983)
Enumeration Date2007-03-20
Last Update Date2007-07-08
Business Address
-- MIRIAM P OWENS GUTIERRE LCPC
422 TAG WAY
CRYSTAL LAKE, IL 60014-6288
Phone number: 815-444-6400
Mailing Address
-- MIRIAM P OWENS GUTIERRE LCPC
422 TAG WAY
CRYSTAL LAKE, IL 60014-6288
Phone number: 815-444-6400
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