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Jody Poultney, LCSW
NPI 1407172554 · on the registry since 2010
Practice
- Address
- 403 W Virginia Ave
Normal, IL 61761 - Phone
- (309) 268-3669
- Fax
- (309) 268-3649
- Organisation at this address
- Bromenn Physicians Management Corporation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-04-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois