Most Relevant Information
Provider Data
NPI Number: | 1003558677 |
Provider Name: | AMY NUDO MS |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 04/12/2022 |
Last Updated: | 04/12/2022 |
Provider Practice Location
5230 SOUTH 6TH STREET ROAD
SPRINGFIELD
IL
62703
Practice Location Phone/Fax
Phone: | 2175851180 |
Fax: | 2175855651 |
Provider Mailing Location
5230 SOUTH 6TH STREET ROAD
SPRINGFIELD
IL
62703
Provider Mailing Phone/Fax
Phone: | 2175851180 |
Fax: | 2175855651 |