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Individual

DR. TORY ANNE EISENLOHR-MOUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
912 S WOOD ST, CHICAGO, IL 60612-4300
(859) 317-0503
Mailing address
2294 N HALSTED STREET, APT 301, CHICAGO, IL 60657
(859) 317-0503

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071.009685
IL

Other

Enumeration date
12/15/2017
Last updated
12/15/2017
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