Individual
JAMIE L HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
507 E ARMSTRONG AVE, PEORIA, IL 61603-3201
(309) 686-1177
(309) 686-7722
Mailing address
507 E ARMSTRONG AVE, PEORIA, IL 61603-3201
(309) 686-1177
(309) 686-7722
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178002630
IL
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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