Individual
AMY NUDO I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
5230 SOUTH 6TH STREET ROAD, SPRINGFIELD, IL 62703
(217) 585-1180
(217) 585-5651
Mailing address
5230 SOUTH 6TH STREET ROAD, SPRINGFIELD, IL 62703
(217) 585-1180
(217) 585-5651
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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