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Cristina Lynn Mugrage, MSW Valid NPI

Individual provider · Clinical Social Worker · Peoria Heights, IL

NPI
1306804281
Type
Individual (Type 1)
Primary specialty
Clinical Social Worker (Social Worker)
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
1041C0700X
License number
149.011980 (IL)
Sex
Female
Sole proprietor
Yes
Enumerated
2006-05-02
Last updated
2010-12-19
Practice location
4700 N Prospect Rd, Suite A1
Peoria Heights, IL 61616-6451
(309) 212-3606

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