Individual
DAWN MARIE COLLMAN VI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4259 GERMAN VALLEY RD, FREEPORT, IL 61032-9604
(815) 362-2303
Mailing address
4259 GERMAN VALLEY RD, FREEPORT, IL 61032-9604
(815) 362-2303
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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