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Individual

MS. ANNE RAPPAPORT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.C.P.C., C.R.C.

Contact information

Practice address
6201 W MAIN ST, SUITE 110, MARYVILLE, IL 62062-6870
(314) 683-0785
(618) 348-6235
Mailing address
4718 N ALBY RD, GODFREY, IL 62035-1958
(618) 433-9000

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180004662
IL
225C00000X
Rehabilitation Counselor
00038190
IL

Other

Enumeration date
11/29/2011
Last updated
01/09/2012
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