Individual
COLLEEN MIDDENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3385 N ARLINGTON HEIGHTS RD, SUITE C, ARLINGTON HEIGHTS, IL 60004-7702
(877) 296-0150
Mailing address
110 ALBION AVE, PARK RIDGE, IL 60068-4910
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.006345
IL
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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