Individual
MS. PATRICIA THEODORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
101 S JEFFERSON ST, WOODSTOCK, IL 60098-3437
(815) 338-7360
(815) 337-5510
Mailing address
101 S JEFFERSON ST, WOODSTOCK, IL 60098-3437
(815) 338-7360
(815) 337-5510
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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