Individual
TONYA DAWSON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4137 SAUK TRL, RICHTON PARK, IL 60471-1253
(312) 477-6629
Mailing address
4137 SAUK TRL, RICHTON PARK, IL 60471-1253
(312) 477-6629
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
29127
IL
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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