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Contact Information

MICHELLE R CONDERMAN, LSW, CADC
325 IL ROUTE 2
DIXON, IL61021-9118
 Phone: 815-973-1077
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for MICHELLE R CONDERMAN · (Female)

NPI Number 1073368031
Status Active
Credentials LSW, CADC
Entity Individual
Enumeration date 04/22/2024
Last updated 02/21/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 150107507
  • IL License # 37961
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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