Individual
DEBORAH TEDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 N JEFFERSON ST, LINCOLN, IL 62656-1047
(217) 671-7225
Mailing address
1700 N JEFFERSON ST, LINCOLN, IL 62656-1047
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.003612
IL
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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