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Individual

KIMBERLY DAHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
856 WHITE TAIL BND, MANTENO, IL 60950-3723
(708) 207-8691
Mailing address
856 WHITE TAIL BND, MANTENO, IL 60950-3723
(708) 207-8691

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
IL

Other

Enumeration date
09/13/2025
Last updated
09/13/2025
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