Individual
MARY ELIZABETH WURSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 W NORMANTOWN RD, ROMEOVILLE, IL 60446-4330
(815) 886-2700
Mailing address
801 W NORMANTOWN RD, ROMEOVILLE, IL 60446-4330
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1811325
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326161522
—
IL
Enumeration date
08/07/2017
Last updated
08/07/2017
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