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Organization

CATHY AHLRICH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
INDIGO BUTT (BILLING DEPARTMENT)
(217) 872-1003
Entity
Organization

Contact information

Practice address
345 E ASH AVE STE A, DECATUR, IL 62526-6138
(217) 872-1003
(217) 233-4150
Mailing address
345 E ASH AVE STE A, DECATUR, IL 62526-6138
(217) 872-1003
(217) 233-4150

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178006034
IL

Other

Enumeration date
04/01/2009
Last updated
04/01/2009
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