Individual
KIM COLLINS-DUNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1340 ABRAM DR, RANTOUL, IL 61866-3485
(757) 358-0032
Mailing address
1340 ABRAM DR, RANTOUL, IL 61866-3485
(757) 358-0032
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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