Individual
MRS. AMY M CHURCHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.006443
IL
Other
Enumeration date
09/01/2009
Last updated
04/17/2012
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