Individual
MR. CHRISTOPHER P HOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
900 MAIN ST, SUITE 580, PEORIA, IL 61602-1005
(309) 637-4266
Mailing address
900 MAIN ST, SUITE 580, PEORIA, IL 61602-1005
(309) 637-4266
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149010210
IL
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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