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Individual

MINDY STUTZMAN MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1920 NERGE RD, ELK GROVE VILLAGE, IL 60007-2972
(954) 835-2835
Mailing address
1235A N CLYBOURN AVE STE 210, CHICAGO, IL 60610-1707

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071009756
IL

Other

Enumeration date
10/02/2014
Last updated
02/09/2023
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