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Brockton Tonkinson

Social Worker, Clinical in Marion, IL. Individual provider (NPI-1).

NPI number1649095902
StatusActive
Last updated in NPPESNov 20, 2024

Details

NPI
1649095902
Entity type
Individual (NPI-1)
Name
Brockton Tonkinson
Sex
Male
Sole proprietor
No
Enumeration date
Nov 20, 2024
Certification date
Nov 20, 2024
Last updated
Nov 20, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

812 Skyline Dr Ste 200
Marion, IL 62959-4874

Phone 618-440-1534

Mailing address

812 Skyline Dr Ste 200
Marion, IL 62959-4874

Phone 618-440-1534

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Other Clinical Social Worker providers in Marion, IL

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