Individual
MIRIAM S MINDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.
Contact information
Practice address
229 MARTIN AVE, CANTON, IL 61520-2520
(309) 647-1881
Mailing address
229 MARTIN AVE, CANTON, IL 61520
(309) 647-1881
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.008716
IL
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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