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Individual

DIONNE C FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
1802 S MATTIS AVE, CHAMPAIGN, IL 61821-5923
(217) 365-2855
Mailing address
611 W PARK ST, URBANA, IL 61801-2501

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
149030923
IL
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
06/13/2022
Last updated
03/18/2026
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