JODY L POULTNEY

NORMAL, IL
NPI1407172554
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149013689)
Enumeration Date2010-04-14
Last Update Date2010-04-14
Business Address
-- JODY L POULTNEY LCSW
403 W VIRGINIA AVE
NORMAL, IL 61761-3666
Phone number: 309-268-3669
Mailing Address
-- JODY L POULTNEY LCSW
403 W VIRGINIA AVE
NORMAL, IL 61761-3666
Phone number: 309-268-3669
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