Individual
MS. ANNE MICHELLE MCNELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
805 19TH ST, ROCK ISLAND, IL 61204
(309) 283-1201
(309) 793-9053
Mailing address
PO BOX 4238, 805 19TH ST, ROCK ISLAND, IL 61204
(309) 283-1201
(309) 793-9053
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363153563004
—
IL
Enumeration date
09/15/2006
Last updated
07/08/2007
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