Individual
BERNADETTE MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CMLDT
Contact information
Practice address
14 E NORTH AVE, LAKE BLUFF, IL 60044-2132
(630) 347-7234
Mailing address
14 E NORTH AVE, LAKE BLUFF, IL 60044-2132
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227007282
IL
Other
Enumeration date
05/29/2016
Last updated
05/29/2016
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