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Individual

MIMI NEATHERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
650 N DEARBORN ST, SUITE 400, CHICAGO, IL 60654-3873
(773) 580-9121
(312) 291-9723
Mailing address
650 N DEARBORN ST, SUITE 400, CHICAGO, IL 60654-3873
(773) 580-9121
(312) 291-9723

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.008698
IL

Other

Enumeration date
12/05/2013
Last updated
12/09/2014
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