Individual
DR. THOMAS BOONE DUDGEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6066 STRATHMOOR DR, 3C, ROCKFORD, IL 61107-6633
(815) 399-9303
(815) 399-9306
Mailing address
6066 STRATHMOOR DR, 3C, ROCKFORD, IL 61107-6633
(815) 399-9303
(815) 399-9306
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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