Individual
JULIANN FINNEGAN DOROTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
208 BANK ST, KEOKUK, IA 52632-5819
(319) 524-3873
(319) 524-3876
Mailing address
2323 WINDISH DR, GALESBURG, IL 61401-9780
(309) 344-4326
(309) 344-4368
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
01852
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
370984175
BRIDGEWAY FEIN
IL
Enumeration date
04/08/2008
Last updated
01/05/2011
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