Individual
MS. KIERA MICHELLE DYMIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 N VETERANS PKWY STE 1, BLOOMINGTON, IL 61704-3568
(309) 663-2229
Mailing address
14 GINGER TRL APT 6, BLOOMINGTON, IL 61705-6582
(708) 828-7185
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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