Organization
TABLE TALK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGIE LENE DASH M.S. (CLINICAL COUNSELOR/PROPRIETOR)
(770) 990-6420
Entity
Organization
Contact information
Practice address
47 S CRAWFORD ST, DANVILLE, IL 61832-6416
(770) 990-6420
(217) 274-7202
Mailing address
47 S CRAWFORD ST, DANVILLE, IL 61832-6416
(770) 990-6420
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
180006014
IL
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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