Individual
SUSAN GUNNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
724 LINDEN ST, ALTON, IL 62002-3740
(618) 465-7724
(618) 465-7724
Mailing address
724 LINDEN ST, ALTON, IL 62002-3740
(618) 465-7724
(618) 465-7724
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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