Individual
AMY CORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
16338 N IL HWY 37, MT VERNON, IL 62864
(618) 242-1510
(618) 242-0958
Mailing address
16338 N IL HWY 37, MT VERNON, IL 62864
(618) 242-1510
(618) 242-0958
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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