Most Relevant Information
Provider Data
| NPI Number: | 1003393208 |
| Provider Name: | RITA SEELOW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/20/2018 |
| Last Updated: | 07/20/2018 |
Provider Practice Location
12 W HARRISON ST
SULLIVAN
IL
619511907
Practice Location Phone/Fax
| Phone: | 2177284358 |
| Fax: |
Provider Mailing Location
12 W HARRISON ST
SULLIVAN
IL
619511907
Provider Mailing Phone/Fax
| Phone: | 2177284358 |
| Fax: |