MS. Susan Eileen Engelhardt

NPI #1447481411 in Du Quoin, Illinois

Provider Information

NPI Number: 1447481411
Entity Type: Individual
Name: MS. Susan Eileen Engelhardt
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Aug 7, 2009
Last Updated: Aug 7, 2009

Practice Location

Address: 1308 WELLS STREET RD
City: Du Quoin
State: Illinois
ZIP Code: 62832-4171
Phone: (618) 542-5421

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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