MR. Kevin Dodge
NPI #1114355351 in Bloomington, Illinois
Provider Information
- NPI Number
- 1114355351
- Entity Type
- Individual
- Name
- MR. Kevin Dodge
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Enumeration Date
- Oct 25, 2013
- Last Updated
- Oct 25, 2013
Practice Location
- Address
- 1003 MARTIN LUTHER KING DR
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-1429
- Phone
- (309) 827-6026
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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