Individual
SOPHIA MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
88 S MAIN ST STE 2, GLEN CARBON, IL 62034-1415
(618) 288-8085
(618) 288-8959
Mailing address
PO BOX 639, GLEN CARBON, IL 62034-0639
(618) 288-8085
(618) 288-8959
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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