Mind Body Spirit Care Clinic INC

NPI #1104007756 in Mascoutah, Illinois

Provider Information

NPI Number: 1104007756
Entity Type: Organization
Organization Name: Mind Body Spirit Care Clinic INC
Primary Specialty: General Practice
Enumeration Date: Nov 23, 2007
Last Updated: Nov 23, 2007

Practice Location

Address: 9640 MALLARD DR
City: Mascoutah
State: Illinois
ZIP Code: 62258-2762
Phone: (618) 960-8796

Authorized Official

Name: MS. CATHERINE DEANNE MARSHALL, APRN-BC
Title: PRESIDENT-OWNER/PROVIDER
Phone: (618) 624-2788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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