Susan Gunning

NPI #1801070644 in Alton, Illinois

Provider Information

NPI Number: 1801070644
Entity Type: Individual
Name: Susan Gunning
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Dec 27, 2007
Last Updated: Dec 27, 2007

Practice Location

Address: 724 LINDEN ST
City: Alton
State: Illinois
ZIP Code: 62002-3740
Phone: (618) 465-7724

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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