Individual
DAWN RENEE SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
751 N RUTLEDGE ST, SPRINGFIELD, IL 62702-4968
(217) 801-2238
Mailing address
751 N RUTLEDGE ST, SPRINGFIELD, IL 62702-4968
(217) 801-2238
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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