Individual
DERRICK DUNMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
246 CLUBHOUSE ST, BOLINGBROOK, IL 60490-2059
(630) 742-6899
Mailing address
246 CLUBHOUSE ST, BOLINGBROOK, IL 60490-2059
(630) 742-6899
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149026406
IL
Other
Enumeration date
10/26/2024
Last updated
10/26/2024
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