Individual
ERIN S DESUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 FIRST AVE, STERLING, IL 61081-1203
(815) 626-7333
(815) 626-8752
Mailing address
1901 FIRST AVE, STERLING, IL 61081-1203
(815) 626-7333
(815) 626-8752
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.006005
IL
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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