Table Talk | |
47 S Crawford St Danville IL 61832-6416 | |
(770) 990-6420 | |
(217) 274-7202 |
Full Name | Table Talk |
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Speciality | Community/behavioral Health |
Location | 47 S Crawford St, Danville, Illinois |
Authorized Official Name and Position | Margie Lene Dash (CLINICAL COUNSELOR/PROPRIETOR) |
Authorized Official Contact | 7709906420 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Table Talk 47 S Crawford St Danville IL 61832-6416 Ph: (770) 990-6420 | Table Talk 47 S Crawford St Danville IL 61832-6416 Ph: (770) 990-6420 |
NPI Number | 1033666839 |
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Provider Enumeration Date | 09/09/2016 |
Last Update Date | 09/09/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033666839 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 180006014 (Illinois) | Primary |
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