Individual
AMY DENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3915 N SHERIDAN RD, SUITE R, PEORIA, IL 61614-7135
(309) 681-9432
(309) 681-9164
Mailing address
3120 N PARISH AVE, PEORIA, IL 61604-1454
(309) 253-4502
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149013536
IL
Other
Enumeration date
03/18/2014
Last updated
03/18/2014
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