MISS Odessa P Conorquie, DT

NPI #1760876429 in Mundelein, Illinois

Provider Information

NPI Number: 1760876429
Entity Type: Individual
Name: MISS Odessa P Conorquie, DT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: DT
Enumeration Date: Mar 20, 2015
Last Updated: Mar 20, 2015

Practice Location

Address: 1357 W MAPLE AVE APT 315
City: Mundelein
State: Illinois
ZIP Code: 60060-1491
Phone: (773) 972-1261

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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