Individual
JULIE ANN MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7120 W. WILLIAM ST., DECATUR, IL 62522
(217) 412-4953
Mailing address
7120 W WILLIAM ST, DECATUR, IL 62522-9402
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
160.004874
IL
Other
Enumeration date
01/20/2019
Last updated
01/20/2019
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