Individual
DAWN MARIE BOETTGER MUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 E 22ND ST, SUITE 101, LOMBARD, IL 60148-4977
(630) 627-5000
(630) 627-5032
Mailing address
920 N MAIN ST, NAPERVILLE, IL 60563-2632
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178007503
IL
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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