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Individual

MRS. DONNA J. PUFAHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.C.P.C.

Contact information

Practice address
5419 BULL VALLEY RD, MCHENRY, IL 60050-7410
(815) 353-8117
(262) 877-3933
Mailing address
5419 BULL VALLEY RD, MCHENRY, IL 60050-7410
(815) 353-8117
(262) 877-3933

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180-001147
IL

Other

Enumeration date
11/05/2008
Last updated
11/05/2008
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