JUSTIN GUNDERSON, LCSW
Social Worker - Clinical
Active
Individual
NPI: 1598036543
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 149-015053 (IL) |
Frequently Asked Questions
NPI 1598036543 is the National Provider Identifier for JUSTIN GUNDERSON, LCSW, a Social Worker - Clinical provider located in Bradley, IL. This NPI was enumerated on January 23, 2012.
JUSTIN GUNDERSON, LCSW practices at 300 N KENNEDY DR, SUITE 8, Bradley, IL 60915.
Quick Facts
- NPI
- 1598036543
- Type
- Individual
- Enumerated
- Jan 23, 2012
- Last Updated
- Jan 23, 2012
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