Individual
DIANE CHAMBERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
702 W CHESTNUT ST, BLOOMINGTON, IL 61701-2814
(309) 557-1435
Mailing address
1003 MARTIN LUTHER KING DR, BLOOMINGTON, IL 61701-1429
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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