Individual
ERICA S DUBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-3673
Mailing address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-3673
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150013644
IL
Other
Enumeration date
04/04/2013
Last updated
04/04/2013
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