Individual
CATHY GUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
309 N MARKET ST, WATERLOO, IL 62298-1534
(618) 999-9999
Mailing address
309 N MARKET ST, WATERLOO, IL 62298-1534
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
02/11/2020
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