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Individual

THERESA MUGERDITCHIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, PEL

Contact information

Practice address
1200 N MIDLOTHIAN RD, MUNDELEIN, IL 60060-1146
(847) 949-2712
Mailing address
1200 N MIDLOTHIAN RD, MUNDELEIN, IL 60060-1146
(847) 949-2712

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041S0200X
School Social Worker
Primary
2624775
IL

Other

Enumeration date
10/14/2020
Last updated
08/23/2023
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