Individual
MRS. SARAH BETH EZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 UNION ST, MORRIS, IL 60450-2426
(815) 941-3404
Mailing address
1320 UNION ST, MORRIS, IL 60450-2426
(815) 941-3404
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
35163
IL
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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