Individual
AGRA VINAUDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4366 KENNEDY DR, EAST MOLINE, IL 61244-4250
(309) 796-1603
Mailing address
4366 KENNEDY DR, EAST MOLINE, IL 61244-4250
(309) 796-1603
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.010160
IL
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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