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