Individual
HOLLY KATHERINE LOVING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 S FULTON AVE, BRADLEY, IL 60915-2318
(815) 216-8529
Mailing address
212 S FULTON AVE, BRADLEY, IL 60915-2318
(815) 216-8529
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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