Individual
AMANDA MOUDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1754 N WASHINGTON ST STE 104A, NAPERVILLE, IL 60563-1462
(708) 736-0654
Mailing address
1613 LAUREL LN, DARIEN, IL 60561-5327
(630) 824-7769
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.017896
IL
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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