Individual
MRS. AERIELLE CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 E NORTH ST, BRADLEY, IL 60915-1185
(815) 933-0667
Mailing address
818 N WESTERN HILLS DR, KANKAKEE, IL 60901-7487
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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