Individual
MRS. ELIZABETH ANN BERMUDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
101 N TREMONT ST, KEWANEE, IL 61443-2231
(309) 883-3697
Mailing address
121 PAYSON ST, KEWANEE, IL 61443-3441
(309) 883-3697
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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