Individual
MRS. AUTUMN RUBY SHOMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2611 WOODLAWN RD, STERLING, IL 61081-4151
(815) 625-0013
Mailing address
2611 WOODLAWN RD, STERLING, IL 61081-4151
(815) 625-0013
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/02/2011
Last updated
04/26/2012
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