Individual
MRS. CRISTINA LYNN MUGRAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4700 N PROSPECT RD, SUITE A1, PEORIA HEIGHTS, IL 61616-6451
(309) 212-3606
(888) 474-1956
Mailing address
220 ORLANDO AVE, NORMAL, IL 61761-1356
(309) 212-3606
(888) 474-1956
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.011980
IL
Other
Enumeration date
05/02/2006
Last updated
12/19/2010
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