Individual
ANGIE KAY MCDUFFIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S LOCUST ST, CENTRALIA, IL 62801-3506
(618) 231-7176
Mailing address
PO BOX 272, IRVINGTON, IL 62848-0272
(618) 231-7176
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/04/2010
Last updated
02/10/2010
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