Individual
AMANDA RUPPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 BETHANY RD, SYCAMORE, IL 60178-3124
(779) 777-7335
(815) 758-7441
Mailing address
1625 BETHANY RD, SYCAMORE, IL 60178-3124
(779) 777-7335
(815) 758-7441
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166001102
IL
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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