Individual
NINA GRACE DUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 W SPRINGFIELD AVE, CHAMPAIGN, IL 61820-4716
(217) 398-8467
Mailing address
706 S BROADWAY AVE, URBANA, IL 61801-4277
(708) 692-5418
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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