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NPI Code Detail

MEDICARE: ANNE ELIZABETH MAYO

MEDICARE: ANNE ELIZABETH MAYO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1598343238
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE ELIZABETH MAYO
Provider Business Mailing Address
First Line : 208 S 1ST AVE
Second Line :
City : MORTON
State : IL
Zip : 61550-2044
Country : US
Telephone Number : 309-258-5713
Fax Number :
Provider Business Practice Location Address
First Line : 208 S 1ST AVE
Second Line :
City : MORTON
State : IL
Zip : 61550-2044
Country : US
Telephone Number : 309-258-5713
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2021
Last Update Date : 04/01/2021

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Directions to “ ANNE ELIZABETH MAYO ” Practice Location

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