Individual
AUTUMN DUNHAM NEUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N 9TH ST, SPRINGFIELD, IL 62702-5310
(217) 545-8000
(217) 545-3926
Mailing address
201 E MADISON ST, SPRINGFIELD, IL 62702-5131
(217) 545-8000
(217) 545-2523
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149-015442
STATE LICENSE
IL
Enumeration date
11/20/2009
Last updated
02/02/2021
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