Individual
MARVA PHYLLIS DAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
205 W RANDOLPH ST STE 830, CHICAGO, IL 60606-1815
(312) 236-1498
Mailing address
205 W RANDOLPH ST STE 830, CHICAGO, IL 60606-1815
(312) 236-1498
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-002053
IL
Other
Enumeration date
11/08/2006
Last updated
06/04/2009
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