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Individual

MS. ANNIE M MURDACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
121 S MADISON ST, PITTSFIELD, IL 62363-1951
(217) 285-4436
Mailing address
448 SUSIE DR, PITTSFIELD, IL 62363-1060

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.004340
IL
101YP2500X
Professional Counselor
Primary
180.006615
IL

Other

Enumeration date
11/08/2006
Last updated
10/09/2008
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