DYNATA CHARLES FUNDERBURG

FLOSSMOOR, IL
NPI1548486152
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TM1800X Psychologist, Intellectual & Developmental Disabilities
Enumeration Date2007-04-18
Last Update Date2007-07-08
Business Address
Mrs. DYNATA CHARLES FUNDERBURG M.A.
806 MAPLE RD
FLOSSMOOR, IL 60422-1060
Phone number: 708-647-6426
Mailing Address
Mrs. DYNATA CHARLES FUNDERBURG M.A.
806 MAPLE RD
FLOSSMOOR, IL 60422-1060
Phone number: 708-647-6426