Individual
MRS. AMY E FORSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LCPC
Contact information
Practice address
6615 N BIG HOLLOW RD, PEORIA, IL 61615-2451
(309) 692-6622
(309) 692-6952
Mailing address
6615 N BIG HOLLOW RD, PEORIA, IL 61615-2451
(309) 692-6622
(309) 692-6952
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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