Individual
ANNIE MARIE MUSGRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 E MAIN ST STE 201, ST CHARLES, IL 60174
(630) 377-6613
(630) 377-6225
Mailing address
1120 E MAIN ST STE 201, ST CHARLES, IL 60174-2287
(630) 377-6613
(630) 377-6225
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
208000738
IL
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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