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Justin Gunderson, LCSW
NPI 1598036543 · on the registry since 2012 · sole proprietor
Practice
- Address
- 300 N Kennedy Dr
Suite 8
Bradley, IL 60915 - Phone
- (815) 929-2009
- Fax
- (815) 929-1284
- Organisation at this address
- Kankakee Valley Chiropractic
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-01-23
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