Mr. Peter Michael Mudd
Mr. Peter Michael Mudd is a Clinical Social Worker in Evanston, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
708 Church St Ste 258Evanston, IL 60201-3875
Phone: (847) 332-2589
Fax: (847) 332-2609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X (IL) |
|---|
Record details
| NPI number | 1841326675 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 26, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 708 Church St, Suite 258, Evanston, IL 60201-3875 |
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