Individual
MRS. MARY MATTY SPETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
906 DAVIS ST, EVANSTON, IL 60201-3608
(847) 492-1778
Mailing address
906 DAVIS ST, EVANSTON, IL 60201-3608
(847) 492-1778
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
32625
IL
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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