Provider Information for 1689220709
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Dr. MICHELLE TURNBOUGH LCPC
Sex: Female
NPI: 1689220709
Last Updated: 2019-08-14
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1689220709 | ||||||||
| Enumeration Date | 2019-08-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 15523B KEATING AVE OAK FOREST, IL 60452-3638 United States Phone: 773-467-6739 | Fax: | ||||||||
| Primary Practice Address | 15523B KEATING AVE OAK FOREST, IL 60452-3638 United States Phone: 773-467-6739 | Fax: | ||||||||
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