Individual
CHRISTY DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, CADC
Contact information
Practice address
325 ILLINOIS RT 2, DIXON, IL 61021-9118
(857) 284-6611
Mailing address
325 ILLINOIS RT 2, DIXON, IL 61021-9118
(857) 284-6611
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
150116403
IL
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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